NPIMap

Organization Active NPI

Abc Dentistry, PA

Doing business as Abc Dental

  • General Practice Dentistry
  • Cleveland, TX
National Provider Identifier
1700807955
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18929 Issued in TX
Legal business name
ABC DENTISTRY, PA
Doing business as
Abc Dental
Practice address
1214 E Houston St Ste D
Cleveland, TX 77327-4754
Phone
(281) 593-3300
Fax
(281) 593-1616
NPI assigned
Jul 22, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Iraj S Jabbary, DDSNPI 1376564518
Title
Owner/President
Phone
(281) 593-3300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 18929 TX Primary

Addresses

Primary practice location

1214 E Houston St Ste D
Cleveland, TX 77327-4754

Mailing address

1214 E Houston St Ste D
Cleveland, TX 77327-4754
Phone (281) 593-3300

Other names 1

  • ABC DENTAL Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700807955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 E HOUSTON ST STE D",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773274754",
            "telephone_number": "281-593-3300",
            "fax_number": "281-593-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 E HOUSTON ST STE D",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773274754",
            "telephone_number": "281-593-3300",
            "fax_number": "281-593-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JABBARY",
        "authorized_official_first_name": "IRAJ",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "281-593-3300",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABC DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.