Active NPI
William S Veazey, D.M.D.
- Dentist
- Pueblo, CO
National Provider Identifier
1114970662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 00203963
- Practice address
- 729 W US Highway 50
Pueblo, CO 81008-1603 - Phone
- (719) 542-4000
- Fax
- (719) 542-4001
- NPI assigned
- May 18, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 00203963 | CO | Primary |
Addresses
Primary practice location
729 W US Highway 50
Pueblo, CO 81008-1603
Mailing address
3246 Centennial Blvd # 184
Colorado Springs, CO 80907-4077
Phone (719) 314-9391
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161103000035 | NY | Order and Referring Only - Dentist | 3072891597 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00203963 | CO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732838400000",
"number": "1114970662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3246 CENTENNIAL BLVD # 184",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809074077",
"telephone_number": "719-314-9391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "729 W US HIGHWAY 50",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810081603",
"telephone_number": "719-542-4000",
"fax_number": "719-542-4001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEAZEY",
"first_name": "WILLIAM",
"middle_name": "S",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2024-11-29",
"certification_date": "2024-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "00203963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.