Organization Active NPI

Kenneth a. Velick DDS PC

  • General Practice Dentistry
  • Livonia, MI
National Provider Identifier
1497718647
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13011 Issued in MI
Legal business name
KENNETH A. VELICK DDS PC
Practice address
18224 Farmington Rd
Livonia, MI 48152-3297
Phone
(248) 477-5888
Fax
(248) 477-6679
NPI assigned
Apr 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kenneth A Velick, DDS
Title
Dentist/President
Phone
(248) 477-5888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 13011 MI Primary

Addresses

Primary practice location

18224 Farmington Rd
Livonia, MI 48152-3297

Mailing address

18224 Farmington Rd
Livonia, MI 48152-3297
Phone (248) 477-5888

National Provider Directory

National Provider Directory

Locations

18224 Farmington Rd
Livonia, MI 48152
Phone (248) 477-5888

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497718647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18224 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523297",
            "telephone_number": "248-477-5888",
            "fax_number": "248-477-6679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18224 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523297",
            "telephone_number": "248-477-5888",
            "fax_number": "248-477-6679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH A. VELICK DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VELICK",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "248-477-5888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "13011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.