Braulio Lajara, DDS, MS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

063519 Issued in NY

Practice address

591 E Tremont Ave
Bronx, NY 10457-4727

Phone

(646) 393-5181

Fax

(646) 393-5181

NPI assigned

Apr 26, 2022

Last updated

Aug 1, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1639813421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1576 TAYLOR AVE APT 6H",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104603321",
            "telephone_number": "347-589-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104574727",
            "telephone_number": "646-393-5181",
            "fax_number": "646-393-5181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAJARA",
        "first_name": "BRAULIO",
        "name_prefix": "Mr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-26",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "063519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aamir Laique, MS
• Amanda M. Laird, M.D.
• Andrea Laird
• Robert S Laitman, MD
• Sara Laitman, MSW
• Gladys Lajara, MACCCSLP
• Priscilla Lajara
• Deeksha Lakavath, MD
• Codie R Lake, RN
• Dianah Thelma Lake, MD

• General Practice Dentistry in Bronx, NY
• Providers in Bronx, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.