Individual provider Active NPI

Ahmed Ismail Elsherif, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Houston, TX
National Provider Identifier
1952909087
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
39012 Issued in TX
Practice address
8800 Long Point Rd Ste a
Houston, TX 77055-3015
Phone
(713) 984-2733
NPI assigned
Oct 12, 2020
Last updated
Aug 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 105615 CA
General Practice Dentistry 1223G0001X 39012 TX
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 39012 TX Primary

Addresses

Primary practice location

8800 Long Point Rd Ste a
Houston, TX 77055-3015

Mailing address

8800 Long Point Rd Ste a
Houston, TX 77055-3015
Phone (713) 984-2733

Other practice location 1

4550 N Lark Ellen Ave # 103-104
Covina, CA 91722-3147
Phone (626) 331-8041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240226000702 TX Practitioner - Oral Surgery 8123463510 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39012TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Elsherif Dental PLLC General Practice CurrentSince Feb 9, 2024 Accepting new patients

Locations

8800 Long Point Rd
Ste A
Houston, TX 77055
Phone (626) 814-7420

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1952909087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 LONG POINT RD STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770553015",
            "telephone_number": "713-984-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 LONG POINT RD STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770553015",
            "telephone_number": "713-984-2733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4550 N Lark Ellen Ave # 103-104",
            "address_purpose": "LOCATION",
            "city": "Covina",
            "state": "CA",
            "postal_code": "917223147",
            "country_code": "US",
            "telephone_number": "626-331-8041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELSHERIF",
        "first_name": "AHMED",
        "middle_name": "ISMAIL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-12",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "105615",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "39012",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "39012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.