Lana Elborno, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

38131 Issued in TX

Practice address

12168 Bellaire Blvd Ste 100
Houston, TX 77072-2642

Phone

(630) 400-0104

NPI assigned

Jun 14, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• D2 Dental of Lansing, P.C.

  • General Practice Dentistry
  • Oak Park, IL
  • NPI 1891259768
  NPD (past)
• Pro Dental Il - Chad Wise PC

  • Dentist
  • Oak Park, IL
  • NPI 1710714233

  General Practice

  NPD (past)

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1457929754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 S MAYDE CREEK DR APT 359",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770796157",
            "telephone_number": "630-400-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12168 BELLAIRE BLVD STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770722642",
            "telephone_number": "630-400-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELBORNO",
        "first_name": "LANA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "38131",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.033197",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayman Elbadawi
• Jamelh Elbatsh
• Alain E Elbaz, M.D.
• Mehmet Ali Elbey, M.D
• Nada Kamal Elbolbol, RPH
• Samih Elchahal, M.D.
• Sahar Elchehabi, DO
• Elda Lauras Optical Latina LLC
• Nada Eldairi, M.D.
• Abdullah Sami Eldaly

• General Practice Dentistry in Houston, TX
• Providers in Houston, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.