Individual provider Active NPI

Jorge Alberto Velis, D.D.S.

  • General Practice Dentistry
  • Doral, FL
National Provider Identifier
1083825954
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN0014958 Issued in FL
Practice address
10449 NW 41St St
Doral, FL 33178-1807
Phone
(305) 629-9909
Fax
(305) 629-9210
NPI assigned
May 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 DN0014958 FL Primary

Addresses

Primary practice location

10449 NW 41St St
Doral, FL 33178-1807

Mailing address

6925 SW 80TH St
Miami, FL 33143-4330

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

LicenseStateTypeSpecialty
DN0014958FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
The Velis Brothers Dental Team General Practice PastSince Sep 6, 2020 Accepting new patients

Organizations & group practices 1

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": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083825954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6925 SW 80TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331434330",
            "fax_number": "305-667-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10449 NW 41ST ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331781807",
            "telephone_number": "305-629-9909",
            "fax_number": "305-629-9210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELIS",
        "first_name": "JORGE",
        "middle_name": "ALBERTO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0014958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.