Individual provider Active NPI

Zeeshan Jamil Raja, DDS, MPH

  • General Practice Dentistry
  • Rosharon, TX
National Provider Identifier
1164904140
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
34566 Issued in TX
Practice address
15028 Highway 6
Rosharon, TX 77583-3261
Phone
(281) 385-8385
NPI assigned
Sep 5, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health Dentistry 1223D0001X 34566 TX
General Practice Dentistry 1223G0001X 34566 TX Primary

Addresses

Primary practice location

15028 Highway 6
Rosharon, TX 77583-3261

Mailing address

15303 Amesbury LN
Sugar Land, TX 77478-4177
Phone (408) 422-7571

Other practice location 1

6261 Highway 6 Ste 400
Missouri City, TX 77459-4372
Phone (408) 422-7571

Other practice location 2

641 10th St
Hempstead, TX 77445-4528
Phone (979) 826-4040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
34566TXMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1164904140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15303 AMESBURY LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784177",
            "telephone_number": "408-422-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15028 HIGHWAY 6",
            "city": "ROSHARON",
            "state": "TX",
            "postal_code": "775833261",
            "telephone_number": "281-385-8385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6261 Highway 6 Ste 400",
            "address_purpose": "LOCATION",
            "city": "Missouri City",
            "state": "TX",
            "postal_code": "774594372",
            "country_code": "US",
            "telephone_number": "408-422-7571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "641 10th St",
            "address_purpose": "LOCATION",
            "city": "Hempstead",
            "state": "TX",
            "postal_code": "774454528",
            "country_code": "US",
            "telephone_number": "979-826-4040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAJA",
        "first_name": "ZEESHAN",
        "middle_name": "JAMIL",
        "name_prefix": "Dr.",
        "credential": "DDS, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-05",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "TX",
            "license": "34566",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "34566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosharon, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.