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Space City Pediatric Dentistry

Pediatric Dentistry in Friendswood, TX · enumerated 2008 · authorized official Bret Ibarra, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1487811659

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Registry record

Entity type Organization (Type 2)
Legal business name Space City Pediatric Dentistry
Practice address 18174 Gulf Fwy Ste 100, Friendswood, TX, 77546
Fax (888) 397-0197
Enumeration date May 16, 2008
Last updated in NPPES Oct 30, 2023

Taxonomy & classification

1223P0221X Pediatric Dentistry Dental Providers · License 10310 (TX) Primary

Authorized official

Name Bret Ibarra
Title Owner

Other identifiers

Identifier Type State Issuer
220062801 Medicaid TX -
009757801 Medicaid TX -
1487811659 Medicaid TX -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-10-30. Verify at npiregistry.cms.hhs.gov.
Where is Space City Pediatric Dentistry located?
The practice location on file with NPPES is in Friendswood, TX.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-10-30.