Active NPI
Amanda Paiz Velazquez, D.M.D.
- Pediatric Dentistry
- Land O Lakes, FL
National Provider Identifier
1013946474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DN 17102
- Practice address
- 2640 Sumerian Dr
Land O Lakes, FL 34638-7206 - Phone
- (813) 235-4960
- NPI assigned
- Jun 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DN 17102 | FL | Primary |
Addresses
Primary practice location
2640 Sumerian Dr
Land O Lakes, FL 34638-7206
Mailing address
2640 Sumerian Dr
Land O Lakes, FL 34638-7206
Phone (813) 235-4960
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 |
|---|---|---|---|
| DN 17102 | FL | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255651200000",
"number": "1013946474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2640 SUMERIAN DR",
"city": "LAND O LAKES",
"state": "FL",
"postal_code": "346387206",
"telephone_number": "813-235-4960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2640 SUMERIAN DR",
"city": "LAND O LAKES",
"state": "FL",
"postal_code": "346387206",
"telephone_number": "813-235-4960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELAZQUEZ",
"first_name": "AMANDA",
"middle_name": "PAIZ",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-30",
"last_updated": "2009-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "FL",
"license": "DN 17102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Land O Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.