Individual provider Active NPI

Esteban Velez, D.D.S.

  • Pediatric Dentistry
  • Seguin, TX
National Provider Identifier
1295899516
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
21621 Issued in TX
Practice address
128 S Moss St Ste 200
Seguin, TX 78155-5127
Phone
(830) 372-5437
Fax
(830) 372-8950
NPI assigned
Dec 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 21621 TX Primary

Addresses

Primary practice location

128 S Moss St Ste 200
Seguin, TX 78155-5127

Mailing address

128 S Moss St Ste 200
Seguin, TX 78155-5127
Phone (830) 372-5437

Other identifiers 2

IdentifierTypeStateIssuer
162287009MedicaidTX
162287008MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Records@seguincd.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Seguin Children'S Dentistry, PA Pediatric Dentistry CurrentSince Oct 23, 2022 Accepting new patients

Locations

128 S Moss St
Ste 200
Seguin, TX 78155
Phone (830) 372-5437

Interoperability endpoints

  • Direct secure messaging: records@seguincd.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1295899516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 S MOSS ST STE 200",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781555127",
            "telephone_number": "830-372-5437",
            "fax_number": "830-372-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 S MOSS ST STE 200",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781555127",
            "telephone_number": "830-372-5437",
            "fax_number": "830-372-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ",
        "first_name": "ESTEBAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "21621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162287009",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162287008",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Records@seguincd.com",
            "affiliation": "N",
            "endpointDescription": "Encrypted e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "128 S Moss St Ste 200",
            "city": "Seguin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "781555127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seguin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; 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.