Elisa Giordano, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

36226 Issued in TX

Practice address

681 S Main St Ste 300
Keller, TX 76248-7036

Phone

(817) 741-4455

NPI assigned

Mar 28, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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.

• Angwin Family Dentistry P.a.

  • General Practice Dentistry
  • Keller, TX
  • NPI 1144469479
  NPD (past)

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1144725474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 S MAIN ST STE 300",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762487036",
            "telephone_number": "817-741-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 S MAIN ST STE 300",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762487036",
            "telephone_number": "817-741-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIORDANO",
        "first_name": "ELISA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-28",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "36226",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "PENDING",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF DENTAL EXAMINERS",
            "identifier": "36226",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gi Anesthesiology Associates PLLC
• Gi Crna, PLLC
• Christopher B Gibson, DDS
• Kerra Gilbertson
• Timothy Andrew Giles, O.D.
• Howard Glans, DC, DAAMLP, DRIT
• Glorious Kids ABA Center LLC
• Nicole Diane Gluzerman, M.S., CCC-SLP
• Jaime Elizabeth Goad, M.ED, LPC-A
• Omar A. Gomez, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Keller, TX
• Providers in Keller, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.