Omar Fawzi Ismael, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

36309 Issued in TX

Practice address

909 Dairy Ashford Rd Ste 109
Houston, TX 77079-5306

Phone

(281) 752-0314

NPI assigned

Aug 26, 2020

Sex

Male

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

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 and National Provider Directory roles.

• Alobaidi PLLC

  • Dental Clinic/Center
  • Houston, TX
  • NPI 1013458488
  NPD (past)

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1568075943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9707 TERRITORY LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770645237",
            "telephone_number": "832-542-6881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 DAIRY ASHFORD RD STE 109",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770795306",
            "telephone_number": "281-752-0314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISMAEL",
        "first_name": "OMAR",
        "middle_name": "FAWZI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-26",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "36309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Island Glo Aesthetics & Primary Care PLLC
• Connie Island
• Tanya Griselle Island, CRNA
• Rowela B Islas, PT
• Steven Islas, PT, DPT, SCS
• Abrar Ismail, M.D.
• Ambreen Ismail, OD
• Bashar Abdulrahman Ismail, MD
• Moyosola O Ismail, MD
• Nadia Ismail, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.