HEALTHPOINT - CREEKSIDE DENTAL
NPI 1184192064
Clinic/Center - Federally Qualified Health Center (FQHC) in Bryan, TX
About Healthpoint - Creekside Dental NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEALTHPOINT - CREEKSIDE DENTAL (NPI 1184192064) is a healthcare organization registered as a federally qualified health center (fqhc) in Bryan, Texas and active in the NPI registry since November 2018. The organization holds a CLIA Waiver certificate valid through April 30, 2028 and lists Theresa Sabella, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Healthpoint - Creekside Dental is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
65Medicare enrollment records show 65 clinicians reassign Medicare billing to Healthpoint - Creekside Dental, which bills Medicare for the services they deliver. Of these, 22 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 8
Nearest to this location (20)
See all 65Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 45D0498423
Brazos Valley Community Action Agency · Bryan, TXFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Brazos Valley Community Action Agency, Inc.'s NPI number?
The NPI number for Brazos Valley Community Action Agency, Inc. is 1184192064. It was assigned to this organization in the NPPES registry on November 8, 2018. The provider is doing business as Healthpoint - Creekside Dental.
Where is Brazos Valley Community Action Agency, Inc. located?
Brazos Valley Community Action Agency, Inc. is located at 1615 Barak Ln Ste 6, Bryan, TX 77802. The listed phone number is (979) 846-2500.
What is Brazos Valley Community Action Agency, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Brazos Valley Community Action Agency, Inc. enrolled in Medicare?
Yes. Brazos Valley Community Action Agency, Inc. is registered in the Medicare PECOS enrollment system.
When is Brazos Valley Community Action Agency, Inc.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Brazos Valley Community Action Agency, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 65 clinicians in 8 Medicare specialties reassign their Medicare billing to Brazos Valley Community Action Agency, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (28), Family Practice (18) and Clinical Social Worker (8). Of these, 22 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Brazos Valley Community Action Agency, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D0498423) is associated with this NPI, valid through April 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Brazos Valley Community Action Agency, Inc. accept?
Health plans from DentaQuest USA Insurance Company, Inc. and UnitedHealthcare list Brazos Valley Community Action Agency, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Brazos Valley Community Action Agency, Inc. was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Healthpoint - Creekside Dental · NPI 1184192064
Federally Qualified Health Center (FQHC) organization in Bryan, Texas. Organization record, active in the CMS NPPES registry since November 8, 2018.
## Identity
- **NPI:** 1184192064 (Entity type: Organization)
- **Enumerated:** November 8, 2018
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Brazos Valley Community Action Agency, Inc.
- **Organization subpart:** No
- **Authorized official:** Theresa Sabella, CEO
## Practice location
- **Address:** 1615 BARAK LN STE 6, Bryan, TX 77802-3301
- **Phone:** (979) 846-2500 · **Fax:** (979) 260-9390
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 65 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (28), Family Practice (18), Clinical Social Worker (8); 22 practice within 10 miles; [full list](https://npiprofile.com/npi/1184192064/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 10, 2024
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1184192064) · Data from the CMS NPPES public registry.