Ronald Mauricio Velasquez, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

36495 Issued in TX

Practice address

611 N Bishop Ave Ste 102
Dallas, TX 75208-4361

Phone

(214) 948-3035

NPI assigned

Aug 8, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Skuld, PC

  • General Practice Dentistry
  • Dallas, TX
  • NPI 1881150639
  NPD (past)

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

{
    "created_epoch": "1596844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596844800000",
    "number": "1043820590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 N ROGERS RD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750617246",
            "telephone_number": "469-826-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 N BISHOP AVE STE 102",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084361",
            "telephone_number": "214-948-3035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5111 Greenville Ave Ste 134",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752063928",
            "country_code": "US",
            "telephone_number": "972-629-9693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELASQUEZ",
        "first_name": "RONALD",
        "middle_name": "MAURICIO",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-08",
        "last_updated": "2020-08-08",
        "certification_date": "2020-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "36495",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "36495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zonia Elvas Velasco, PT
• Ava Leigh Velasquez
• Jacqueline Velasquez, BS
• Jordi Jonatan Velasquez
• Joshua Rocky Velasquez, PT, DPT
• Bianca Velazquez
• Jessie Velazquez I
• Joe Velazquez
• Juliana Velazquez, SLP-ASSISTANT
• Karla Velazquez

• General Practice Dentistry in Dallas, TX
• Providers in Dallas, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2020; 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.