Individual provider Active NPI

Homero Javier Vela-Gomez, DDS

  • General Practice Dentistry
  • Laredo, TX
National Provider Identifier
1386258309
Registry record updated Jan 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
36643 Issued in TX
Practice address
5904 West Dr Ste 9
Laredo, TX 78041-6029
Phone
(956) 726-9418
NPI assigned
Sep 8, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2022

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 36643 TX Primary

Addresses

Primary practice location

5904 West Dr Ste 9
Laredo, TX 78041-6029

Mailing address

8112 Stillmeadow CT
Laredo, TX 78045-1971
Phone (956) 764-0976

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

State licenses

LicenseStateTypeSpecialty
36643TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rolando a. Guerra , Jr. , D.D.S. , and Associates General Practice PastSince Jan 21, 2022 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641686400000",
    "number": "1386258309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8112 STILLMEADOW CT",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780451971",
            "telephone_number": "956-764-0976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5904 WEST DR STE 9",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416029",
            "telephone_number": "956-726-9418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELA-GOMEZ",
        "first_name": "HOMERO",
        "middle_name": "JAVIER",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-08",
        "last_updated": "2022-01-09",
        "certification_date": "2022-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "36643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.