DR. ELIZABETH KUNCEWICZ SISO DDS, MSD
NPI 1316598691
Dentist - Pediatric Dentistry in Houston, TX

Active since September 26, 2019Opted out of Medicare · through Jan 10, 2027
2000 S DAIRY ASHFORD RD STE 530, HOUSTON, TX 77077(281) 597-0404 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Elizabeth Kuncewicz Siso Dds, Msd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ELIZABETH KUNCEWICZ SISO DDS, MSD (NPI 1316598691) is an individual pediatric dentistry provider in Houston, Texas, licensed in Texas (35718) and active in the NPI registry since September 2019. She has opted out of Medicare through January 10, 2027 and maintains a secondary practice location in Kingwood.

NPPES Registry Identity

NPI1316598691
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. ELIZABETH KUNCEWICZ SISOCredential: DDS, MSD
Location Address2000 S DAIRY ASHFORD RD STE 530Houston, TX 77077-5729
Mailing Address2000 S Dairy Ashford Rd Ste 530Houston, TX 77077-5729 · (281) 597-0404
Sole ProprietorNo
Enumeration DateSeptember 26, 2019
Last NPPES UpdateJuly 29, 2025
NPPES CertifiedJuly 29, 2025
NPI 1316598691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in TX · 35718
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2000 S DAIRY ASHFORD RD STE 530, Houston, TX 77077

Secondary Practice Location 1

Location 120035 W Lake Houston Pkwy Ste 600Kingwood, TX 77346-3459 · Phone (281) 852-3777

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Elizabeth Kuncewicz Siso Dds, Msd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 10, 2023 through January 10, 2027.

Opt-Out Effective DateJanuary 10, 2023
Opt-Out In Effect ThroughJanuary 10, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Pediatric Dentistry)
2000 S DAIRY ASHFORD RD STE 530
HOUSTON, TX 77077

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Siso's NPI number?

The NPI number for Elizabeth Siso is 1316598691. It was assigned to this individual provider in the NPPES registry on September 26, 2019.

Where is Elizabeth Siso located?

Elizabeth Siso practices at 2000 S Dairy Ashford Rd Ste 530, Houston, TX 77077. The listed phone number is (281) 597-0404.

What is Elizabeth Siso's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Elizabeth Siso enrolled in Medicare?

No. Elizabeth Siso has opted out of Medicare through January 10, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Elizabeth Siso accept?

Health plans from Delta Dental PPO and Humana list Elizabeth Siso as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elizabeth Siso was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.