Elizabeth Kuncewicz Siso, DDS, MSD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

35718 Issued in TX

Practice address

2000 S Dairy Ashford Rd Ste 530
Houston, TX 77077-5729

Phone

(281) 597-0404

NPI assigned

Sep 26, 2019

Last updated

Jul 29, 2025By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 10, 2023 through Jan 10, 2027

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Febres Dentistry for Children

  • Pediatric Dentistry
  • Houston, TX
  • NPI 1144437872
  NPD (past)
• Suha Reddy, DDS.,PLLC

  dba Lake Houston Pediatric Dentistry

  • Dental Clinic/Center
  • Kingwood, TX
  • NPI 1184186850
  NPD (past)

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1316598691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S DAIRY ASHFORD RD STE 530",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770775729",
            "telephone_number": "281-597-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S DAIRY ASHFORD RD STE 530",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770775729",
            "telephone_number": "281-597-0404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20035 W Lake Houston Pkwy Ste 600",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "TX",
            "postal_code": "773463459",
            "country_code": "US",
            "telephone_number": "281-852-3777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SISO",
        "first_name": "ELIZABETH",
        "middle_name": "KUNCEWICZ",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-26",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "35718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis R. Sirvent, OTR
• Shannon Marie Sisco, PH.D.
• Katelin Sisler
• Stephanie Renee Sisley, MD
• Julide Sisman, M.D.
• Ketal Sisodia
• Blandina Sison, MD
• Patricia Sison, LPT
• Therese Laine Sison
• Ashley Mani Sisoumphou

• Pediatric Dentistry in Houston, TX
• Providers in Houston, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.