Elias G Khalil, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

25017 Issued in TX

Practice address

10603 Fuqua St
Suite D
Houston, TX 77089-2630

Phone

(713) 944-4901

Fax

(713) 944-4900

NPI assigned

Dec 18, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Elias G Abou Khalil Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chic Smiles Dental LLLP

  • General Practice Dentistry
  • Houston, TX
  • NPI 1497198949
  NPD (past) Authorized official

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

{
    "created_epoch": "1261094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314489600000",
    "number": "1013246107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 N POST OAK LN",
            "address_2": "# 9202",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770247766",
            "telephone_number": "513-885-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10603 FUQUA ST",
            "address_2": "SUITE D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770892630",
            "telephone_number": "713-944-4901",
            "fax_number": "713-944-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALIL",
        "first_name": "ELIAS",
        "middle_name": "G",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-18",
        "last_updated": "2011-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25017",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D7894",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58575",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIAS",
            "last_name": "ABOU KHALIL",
            "middle_name": "G",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Adam Khalifa, LPC ASSOCIATE
• Ahmed Anwar Khalifa, MD
• Amany Aboubakr Khalil, LPC
• Deena Habazi Khalil
• Elaine Khalil, M.D.
• Hanan Abobakr Khalil, AA
• Kamal G. Khalil, M.D.
• Kenda Khalil, RPH
• Mohamed Khalil, MD
• Mohamed Ahmed Ibrahem M Khalil

• General Practice Dentistry in Houston, TX
• Providers in Houston, 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 Aug 28, 2011; 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.