Organization Active NPI

Sky Orthodontics PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Houston, TX
National Provider Identifier
1386412732
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
SKY ORTHODONTICS PLLC
Practice address
1515 Studemont St Ste 203
Houston, TX 77007-3823
Phone
(909) 374-3057
NPI assigned
Dec 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Authorized official

Name
Dr. Islam Elkenawy, DDS MSNPI 1912511916
Title
Owner
Phone
(909) 374-3057

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

1515 Studemont St Ste 203
Houston, TX 77007-3823

Mailing address

702 Windbreak TRL
Houston, TX 77079-4223
Phone (909) 374-3057

Other names 1

  • Elara Orthodontics Heights Doing business as

National Provider Directory

National Provider Directory

Locations

1515 Studemont St
Ste 203
Houston, TX 77007
Phone (909) 374-3057

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1702598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702598400000",
    "number": "1386412732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 WINDBREAK TRL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770794223",
            "telephone_number": "909-374-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 STUDEMONT ST STE 203",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770073823",
            "telephone_number": "909-374-3057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKY ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-15",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A",
        "authorized_official_last_name": "ELKENAWY",
        "authorized_official_first_name": "ISLAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-374-3057",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elara Orthodontics Heights",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; 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.