Crystal Clear Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CRYSTAL CLEAR DENTAL

Practice address

5507 E Evans Rd Ste 105106
San Antonio, TX 78261-2023

Phone

(210) 900-4400

Fax

(210) 964-2260

NPI assigned

Apr 15, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Ali M. Ibrahim, DDSNPI 1376271288

Title

Dentist

Phone

(210) 900-4400

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ali Mahmoud Ibrahim, DDS

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1376271288
  NPD Authorized official

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1952155236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5507 E EVANS RD STE 105106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782612023",
            "telephone_number": "210-900-4400",
            "fax_number": "210-964-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5507 E EVANS RD STE 105106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782612023",
            "telephone_number": "210-900-4400",
            "fax_number": "210-964-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL CLEAR DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-15",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "210-900-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Cruz
• Elmer Ledesma Cruzado
• Ronnielyn Cruzado
• Cryo Body Shape
• Cryst Care Homes LLC
• Crystal Counseling PLLC
• Crystal Counseling, PLLC
• Crystal Wellness Center Inc
• CSC Houston West, Inc
• Csdmd PLLC

• General Practice Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; 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.