Angela Ishak, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

25225 Issued in TX

Practice address

6940 Katy Gaston Rd Ste 200
Katy, TX 77494-6480

Phone

(281) 271-5100

Fax

(281) 494-4468

NPI assigned

Nov 24, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Premier Dental Studio and Pediatrics, PLLC

  • General Practice Dentistry
  • Katy, TX
  • NPI 1881457935
  NPD

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

{
    "created_epoch": "1290556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1205138252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6940 KATY GASTON RD STE 200",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946480",
            "telephone_number": "281-271-5100",
            "fax_number": "281-494-4468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6940 KATY GASTON RD STE 200",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946480",
            "telephone_number": "281-271-5100",
            "fax_number": "281-494-4468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISHAK",
        "first_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-24",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "25225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irina Zaltsgendler DDS, PLLC
• Irolo Dental Services (Brighter Day Dental)
• Isabel Martinez MD PA (Blue Mesa Medical Associates)
• Miriam Virginia Isakovic, RN,BSN, MA.ED
• Kayla D. Isbell, MD
• Alina Ishtiaq, OD
• Munar Ishwait
• Hasel Tania Islas-Gonzalez, SLP-A
• Teba Ismail
• Matthew James Isom, M.D.

• Dentist in Katy, TX
• Providers in Katy, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.