Melvin R Velazquez, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

04513 Issued in NY

Practice address

6907 43Rd Ave
Suitec1
Woodside, NY 11377-9100

Phone

(718) 898-6010

Fax

(718) 606-2713

NPI assigned

Jan 16, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350950400000",
    "number": "1336290402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 OLD SEARINGTOWN RD",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071533",
            "telephone_number": "516-742-3111",
            "fax_number": "718-898-7473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6907 43RD AVE",
            "address_2": "SUITEC1",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113779100",
            "telephone_number": "718-898-6010",
            "fax_number": "718-606-2713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELAZQUEZ",
        "first_name": "MELVIN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2012-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "04513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01485987",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leon A Vasquez I, DDS
• Lorraine Vasquez, O.D.
• Erica Vassell
• Daryl Vega
• Shirley Eileen Velasquez
• Sonia Velez, MA
• Olga Venglovskaya
• Alana Maria Vicentini, LMHC
• Nicole M Victor
• Albert Villacorta

• General Practice Dentistry in Woodside, NY
• Providers in Woodside, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; 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.