Individual provider Active NPI

Nicholas G Velis, D.D.S.

  • General Practice Dentistry
  • Spokane Valley, WA
National Provider Identifier
1275863425
Registry record updated Jan 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE60095171 Issued in WA
Practice address
820 S Pines Rd
Spokane Valley, WA 99206-5594
Phone
(509) 924-8200
Fax
(509) 924-4549
NPI assigned
Jan 12, 2010
Last updated
Jan 12, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE60095171 WA Primary

Addresses

Primary practice location

820 S Pines Rd
Spokane Valley, WA 99206-5594

Mailing address

820 S Pines Rd
Spokane Valley, WA 99206-5594
Phone (509) 924-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20160316000935 WA Order and Referring Only - DentistPractitioner - Dentist 5698071785

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE60095171WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
George J Velis, D.D.S., P.S. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1263254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263254400000",
    "number": "1275863425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 S PINES RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992065594",
            "telephone_number": "509-924-8200",
            "fax_number": "509-924-4549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S PINES RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992065594",
            "telephone_number": "509-924-8200",
            "fax_number": "509-924-4549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELIS",
        "first_name": "NICHOLAS",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-12",
        "last_updated": "2010-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60095171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

Verify at the official NPI Registry.