Active NPI
Homero Javier Vela-Gomez, DDS
- General Practice Dentistry
- Laredo, TX
National Provider Identifier
1386258309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 36643
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 36643 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rolando a. Guerra , Jr. , D.D.S. , and Associates | General Practice | 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 and National Provider Directory roles.
-
- General Practice Dentistry
- Laredo, TX
- NPI 1295860799
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.