NPI age
18 years
Enumerated 2008-05-16
● Active Type 2 · Organization
Space City Pediatric Dentistry
Space City Pediatric Dentistry is 1 of 1797 dentist organizations in Texas.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ibarra
Owner
Last NPPES update
2023-10-30
Source: monthly bulk 2026-05
How this organization compares
Across 1797 active dentist providers in Texas.
NPI age
18 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-05Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
18174 Gulf Fwy Ste 100
Friendswood, TX 775462722
Mailing address
18174 Gulf Fwy Ste 100
Friendswood, TX 775462722
Authorized official
Bret A Ibarra, DDS, MSD
Owner
📞 2814847732
Specialties
-
Dentist PrimaryAn 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.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 220062801 | |
| 05 (TX) | 009757801 | |
| 05 (TX) | 1487811659 |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.