Angela Ishak DMD PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ANGELA ISHAK DMD PLLC

Doing business as

Premier Dental Studio of Katy

Practice address

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

Phone

(281) 271-5100

Fax

(281) 271-5110

NPI assigned

Oct 22, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Angela Ishak, DMD

Title

Owner/Dentist

Phone

(281) 271-5100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Premier Dental Studio of Katy Doing business as

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634860800000",
    "number": "1427712827",
    "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": "281-271-5110"
        },
        {
            "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": "281-271-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELA ISHAK DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-22",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A",
        "authorized_official_last_name": "ISHAK",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "281-271-5100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE #",
            "identifier": "25225",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Dental Studio of Katy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Clinic/Center in Katy, TX
• Providers in Katy, TX by specialty
• Dental Clinic/Center 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.