Individual provider Active NPI

Nicolas Antonio Carchi Velez, DDS

  • General Practice Dentistry
  • Virginia Beach, VA
National Provider Identifier
1033958681
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401419064 Issued in VA
Practice address
317 Edwin Dr
Virginia Beach, VA 23462-4525
Phone
(757) 499-2100
NPI assigned
May 22, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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 0401419064 VA Primary

Addresses

Primary practice location

317 Edwin Dr
Virginia Beach, VA 23462-4525

Mailing address

2326 NW 96TH Way
Coral Springs, FL 33065-4980
Phone (352) 494-3750

Other practice location 1

5130 Fairbanks Dr
El Paso, TX 79924-3813
Phone (352) 494-3750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20260218000097 VA Order and Referring Only - DentistPractitioner - Dentist 7113407156

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401419064VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Partners in Dental Health LLC General Practice PastSince Mar 11, 2025 Accepting new patients
Partners in Dental Health II General Practice Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1033958681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2326 NW 96TH WAY",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654980",
            "telephone_number": "352-494-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 EDWIN DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234624525",
            "telephone_number": "757-499-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5130 Fairbanks Dr",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799243813",
            "country_code": "US",
            "telephone_number": "352-494-3750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARCHI VELEZ",
        "first_name": "NICOLAS",
        "middle_name": "ANTONIO",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-22",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401419064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.