Organization Active NPI

Velosa J.C Dental Practice Corp

  • General Practice Dentistry
  • Santa Ana, CA
National Provider Identifier
1194399691
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
VELOSA J.C DENTAL PRACTICE CORP
Practice address
1125 E 17TH St Ste E227
Santa Ana, CA 92701-2218
Phone
(714) 550-0503
Fax
(714) 550-4112
NPI assigned
May 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Authorized official

Name
Dr. Juan Carlos Velosa, DDSNPI 1194939009
Title
Dentist
Phone
(626) 840-6862

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1125 E 17TH St Ste E227
Santa Ana, CA 92701-2218

Mailing address

1125 E 17TH St Ste E227
Santa Ana, CA 92701-2218
Phone (714) 550-0503

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1621296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1194399691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 E 17TH ST STE E227",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927012218",
            "telephone_number": "714-550-0503",
            "fax_number": "714-550-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 E 17TH ST STE E227",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927012218",
            "telephone_number": "714-550-0503",
            "fax_number": "714-550-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VELOSA J.C DENTAL PRACTICE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A",
        "authorized_official_last_name": "VELOSA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "626-840-6862",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.