Active NPI
Brian M Eliis, D.D.S.
- General Practice Dentistry
- Houston, TX
National Provider Identifier
1295853356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12961
- Practice address
- 15620 FM 529
Houston, TX 77095 - Phone
- (281) 855-7774
- Fax
- (219) 855-7785
- NPI assigned
- Mar 27, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12961 | TX | Primary |
Addresses
Primary practice location
15620 FM 529
Houston, TX 77095
Mailing address
1934 Hillgreen Dr
Katy, TX 77494-1803
Phone (281) 797-6365
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12961 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Health Associates of Texas, PC | General Practice | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- General Practice Dentistry
- Houston, TX
- NPI 1255492815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295853356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1934 HILLGREEN DR",
"city": "KATY",
"state": "TX",
"postal_code": "774941803",
"telephone_number": "281-797-6365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15620 FM 529",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77095",
"telephone_number": "281-855-7774",
"fax_number": "219-855-7785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELIIS",
"first_name": "BRIAN",
"middle_name": "M",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "12961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
- Teenu Elias, PHARMD
- Elidia Management Inc.
- Janelle Elie-Murray, NURSE PRACTITIONER
- Elight Hospice LLC
- Holly McGowan Eligio, LCSW
- Elijah Medical Clinic
- Mary E Elijah, M.ED, LPC, RPT
- Elik Dialysis Home Therapy - Memorial II LLC
- Elik Dialysis Home Therapy-Memorial Inc Dba Elik Dialysis Home Therapy
- Elik Dialysis Hometherapy - Memorial, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.