Individual provider Active NPI

Jacqueline Rose Velez, DMD

  • General Practice Dentistry
  • Waynesville, NC
National Provider Identifier
1255990255
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13641 Issued in NC
Practice address
30 Miami Dr
Waynesville, NC 28785-9423
Phone
(828) 452-5807
NPI assigned
Jun 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 04492 NH
General Practice Dentistry 1223G0001X 13641 NC Primary

Addresses

Primary practice location

30 Miami Dr
Waynesville, NC 28785-9423

Mailing address

30 Miami Dr
Waynesville, NC 28785-9423
Phone (828) 452-5807

Other names 1

  • Jacqueline Rose Vera Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221010001709 NH Order and Referring Only - DentistPractitioner - Dentist 2769868074

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13641NCMDGeneral Practice Dentistry
04492NHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Cameron & Associates of Waynesville, PLLC General Practice CurrentSince Dec 22, 2024 Accepting new patients
Ferguson and Lambert DDS, PA PastSince Dec 22, 2024 Accepting new patients
Raynor Dental Peterborough, PLLC General Practice PastSince Jan 1, 2020 Accepting new patients

Locations

30 Miami Dr
Waynesville, NC 28785
Phone (828) 452-5807

Organizations & group practices 3

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": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1255990255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MIAMI DR",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287859423",
            "telephone_number": "828-452-5807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MIAMI DR",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287859423",
            "telephone_number": "828-452-5807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ",
        "first_name": "JACQUELINE",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "04492",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "13641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "VERA",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waynesville, NC

Sources for this page

Verify at the official NPI Registry.