Individual provider Active NPI

Mehraz Jamal Uddin, DMD

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1457965980
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
36534 Issued in TX
Practice address
2615 Southwest Fwy Ste 190
Houston, TX 77098-4611
Phone
(713) 364-1616
NPI assigned
Sep 2, 2020
Last updated
Jun 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 36534 TX Primary

Addresses

Primary practice location

2615 Southwest Fwy Ste 190
Houston, TX 77098-4611

Mailing address

2615 Southwest Fwy Ste 190
Houston, TX 77098-4611
Phone (832) 531-3009

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
I20240426003013 TX Order and Referring Only - DentistPractitioner - Dentist 3577903319

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36534TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mju Solutions, PLLC Current Accepting new patients
Mangoleaf Dental PLLC General Practice PastSince Nov 16, 2021 Accepting new patients

Locations

2615 Southwest Fwy
Ste 190
Houston, TX 77098
Phone (713) 364-1616

Organizations & group practices 2

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": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1457965980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 SOUTHWEST FWY STE 190",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770984611",
            "telephone_number": "832-531-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 SOUTHWEST FWY STE 190",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770984611",
            "telephone_number": "713-364-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDDIN",
        "first_name": "MEHRAZ",
        "middle_name": "JAMAL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-02",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "36534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.