Raziel Velgis, DDS, MSD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN29144 Issued in FL

Practice address

1361 13TH Ave S Ste 220
Jacksonville Beach, FL 32250-3236

Phone

(904) 273-4373

NPI assigned

Feb 17, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 28, 2024 through Oct 28, 2026

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.

• Darryl a. Field, DDS, PA, LLC

  • Periodontics
  • Jacksonville Beach, FL
  • NPI 1841698883
  NPD (past)

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1225497407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 CAYMAN CV",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320811513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 13TH AVE S STE 220",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503236",
            "telephone_number": "904-273-4373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "960115 Gateway Blvd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Fernandina Beach",
            "state": "FL",
            "postal_code": "320349129",
            "country_code": "US",
            "telephone_number": "904-990-1079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELGIS",
        "first_name": "RAZIEL",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-17",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN29144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Utopian Lab Solutions LLC.
• Utopian Solutions LLC
• VA PT LLC
• Valerie Brink LMHC PA
• Alexis Augustine Vazquez, DO
• Alexa Verzwyvelt
• Edgar Vesce, D.C.
• Anthony M Vetere, MD
• Bethann Patricia Vetter, LMT
• Tony Villena, MD

• Periodontics in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.