Flavia Gomes Velasque Gama, DMD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

13093 Issued in CT

Practice address

263 Farmington Avenue
Farmington, CT 06053

Phone

(860) 679-2207

Fax

(860) 679-1363

NPI assigned

Jan 10, 2021

Sex

Female

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1610236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1366030876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1248 FARMINGTON AVE APT C14",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072624",
            "telephone_number": "617-369-2816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVENUE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "06053",
            "telephone_number": "860-679-2207",
            "fax_number": "860-679-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMES VELASQUE GAMA",
        "first_name": "FLAVIA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-10",
        "last_updated": "2021-07-23",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CT",
            "license": "13093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven A Goldenberg, MD
• Aaron Goldman-Henley, DO
• Gina Goldstein, LPC, M.S.
• Jill Goldstein, LCSW
• Zygmunt Golek, M.D.
• Kanisha Gomes-Wright
• Allison Gomes, DCN, RD, CNSC, CDN
• Miguel Andres Gomez, MD
• Jamie Kate Gooch, APRN
• Jerry Goodman Jr.

• Student in an Organized Health Care Education/Training Program in Farmington, CT
• Providers in Farmington, CT by specialty
• Student in an Organized Health Care Education/Training Program in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.