Individual provider Active NPI

Brijesh Makanji, DMD

  • Dentist
  • Houston, TX
National Provider Identifier
1235581349
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
39376 Issued in TX
Practice address
10220 Louetta Rd
Houston, TX 77070-2185
Phone
(281) 971-2132
NPI assigned
Jul 13, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 39376 TX Primary

Addresses

Primary practice location

10220 Louetta Rd
Houston, TX 77070-2185

Mailing address

10806 W Bellfort Ave
Houston, TX 77099-4751

Other practice location 1

1631 Wetzel Ave
Bldg 815
Fort Carson, CO 80913-4095
Phone (719) 526-5537

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
39376TXMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1235581349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10806 W BELLFORT AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770994751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10220 LOUETTA RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770702185",
            "telephone_number": "281-971-2132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1631 Wetzel Ave",
            "address_2": "Bldg 815",
            "address_purpose": "LOCATION",
            "city": "Fort Carson",
            "state": "CO",
            "postal_code": "809134095",
            "country_code": "US",
            "telephone_number": "719-526-5537",
            "fax_number": "719-524-2843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAKANJI",
        "first_name": "BRIJESH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-13",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "39376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.