Organization Active NPI

Alfredo Velazquez DDS, Inc

  • Dentist
  • San Bernardino, CA
National Provider Identifier
1124227947
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ALFREDO VELAZQUEZ DDS, INC
Practice address
189 N E St
San Bernardino, CA 92401-1901
Phone
(909) 383-8328
Fax
(909) 383-8332
NPI assigned
Jul 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Authorized official

Name
Alfredo Velazquez, DDSNPI 1700806924
Title
Dentist
Phone
(909) 383-8328

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

189 N E St
San Bernardino, CA 92401-1901

Mailing address

189 N E St
San Bernardino, CA 92401-1901
Phone (909) 383-8328

Other names 1

  • CENTRAL CITY DENTAL OFFICE Doing business as

National Provider Directory

National Provider Directory

Locations

189 N E St
San Bernardino, CA 92401
Phone (909) 383-8328

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1124227947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 N E ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011901",
            "telephone_number": "909-383-8328",
            "fax_number": "909-383-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 N E ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011901",
            "telephone_number": "909-383-8328",
            "fax_number": "909-383-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALFREDO VELAZQUEZ DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "VELAZQUEZ",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "909-383-8328",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRAL CITY DENTAL OFFICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.