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SPACE CITY PEDIATRIC DENTISTRY
NPI 1487811659
Dentist - Pediatric Dentistry in Friendswood, TX

Active since May 16, 2008
18174 GULF FWY STE 100, FRIENDSWOOD, TX 77546(281) 484-7732(888) 397-0197 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Space City Pediatric Dentistry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPACE CITY PEDIATRIC DENTISTRY (NPI 1487811659) is a healthcare organization registered as a pediatric dentistry in Friendswood, Texas and active in the NPI registry since May 2008. The organization lists Bret A Ibarra, Owner, as its authorized official.

NPPES Registry Identity

NPI1487811659
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSPACE CITY PEDIATRIC DENTISTRY
Location Address18174 GULF FWY STE 100Friendswood, TX 77546-2722
Mailing Address18174 Gulf Fwy Ste 100Friendswood, TX 77546-2722 · (281) 484-7732 · Fax (281) 484-8751
Phone(281) 484-7732
Fax(888) 397-0197
Organization SubpartNo
Authorized OfficialBret A IbarraOwner · (281) 484-7732
Enumeration DateMay 16, 2008
Last NPPES UpdateOctober 30, 2023
NPPES CertifiedOctober 30, 2023
✔ NPI 1487811659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in TX · 10310
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
18174 GULF FWY STE 100, Friendswood, TX 77546
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Other Identifiers 3

Medicaid220062801TX
Medicaid009757801TX
Medicaid1487811659TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRET A IBARRA D.D.S., M.S.D.
Dentist (Pediatric Dentistry)
18174 GULF FWY STE 100
FRIENDSWOOD, TX 77546
Galveston County (281) 484-7732

Frequently 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 Space City Pediatric Dentistry's NPI number?

The NPI number for Space City Pediatric Dentistry is 1487811659. It was assigned to this organization in the NPPES registry on May 16, 2008.

Where is Space City Pediatric Dentistry located?

Space City Pediatric Dentistry is located at 18174 Gulf Fwy Ste 100, Friendswood, TX 77546. The listed phone number is (281) 484-7732.

What is Space City Pediatric Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Space City Pediatric Dentistry accept?

Health plans from UnitedHealthcare list Space City Pediatric Dentistry 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 Space City Pediatric Dentistry was last updated on October 30, 2023. 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.