Velez Dental Group, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

12012316A Issued in IN

Legal business name

VELEZ DENTAL GROUP, LLC

Practice address

5055 E US Highway 36 Ste 101
Avon, IN 46123-6533

Phone

(317) 745-6355

Fax

(317) 745-7929

NPI assigned

Jun 4, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Juan Esteban Velez, D.D.S.NPI 1508245036

Title

Owner

Phone

(317) 745-6355

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Juan Esteban Velez, D.D.S.

  • Dentist
  • Avon, IN
  • NPI 1508245036
  NPD (past) Authorized official

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1417337569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5055 E US HIGHWAY 36 STE 101",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461236533",
            "telephone_number": "317-745-6355",
            "fax_number": "317-745-7929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5055 E US HIGHWAY 36 STE 101",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461236533",
            "telephone_number": "317-745-6355",
            "fax_number": "317-745-7929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VELEZ DENTAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-04",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "VELEZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "ESTEBAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-745-6355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "12012316A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emileah Van Matre, D.C.
• Rebecca Vandenburgh, LCSW
• Stephanie Vanlue, RBT
• Tamara Maxine Vanwinkle, MSW, LCSW
• Moriah Veach
• Juan Esteban Velez, D.D.S.
• Donna Russell Venturini, M.D.
• Enilyn Villa, COTA
• Ashton Villarreal, RBT
• Vision Learning Center of Avon

• Dentist in Avon, IN
• Providers in Avon, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.