NPIMap

Organization Active NPI

Velez Pediatrics, PLLC

  • Pediatrics Physician
  • Dallas, TX
National Provider Identifier
1003397613
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
VELEZ PEDIATRICS, PLLC
Practice address
817 W Jefferson Blvd Ste 130
Dallas, TX 75208-4924
Phone
(214) 948-2989
Fax
(214) 416-7520
NPI assigned
Aug 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2019

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

Authorized official

Name
Dr. Eduardo Velez, MDNPI 1508939711
Title
MD
Phone
(214) 948-2989

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

817 W Jefferson Blvd Ste 130
Dallas, TX 75208-4924

Mailing address

1100 Stone Ridge LN
Desoto, TX 75115-2852

Other identifiers 1

IdentifierTypeStateIssuer
K1118OtherTXMEDICAL LICENSE

Other names 1

  • Velez Pediatrics Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2164266Velez Pediatrics, PLLC817 W Jefferson Blvd Suite 130, Dallas, TX 75208Certificate of waiverMar 31, 2027

National Provider Directory

National Provider Directory

Locations

817 W Jefferson Blvd
Ste 130
Dallas, TX 75208
Phone (214) 948-2989

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557964800000",
    "number": "1003397613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 STONE RIDGE LN",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 W JEFFERSON BLVD STE 130",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084924",
            "telephone_number": "214-948-2989",
            "fax_number": "214-416-7520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VELEZ PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-22",
        "last_updated": "2019-05-16",
        "status": "A",
        "authorized_official_last_name": "VELEZ",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "214-948-2989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "K1118",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Velez Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.