Juan Esteban Velez, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

12012316A Issued in IN

Practice address

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

Phone

(317) 745-6355

Fax

(317) 745-7929

NPI assigned

May 29, 2015

Sex

Male

Sole proprietor

Yes

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

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Velez Dental Group, LLC

  • Dentist
  • Avon, IN
  • NPI 1417337569
  NPD (past) Authorized official

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

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1508245036",
    "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": {
        "last_name": "VELEZ",
        "first_name": "JUAN",
        "middle_name": "ESTEBAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-29",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12012316A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Vandenburgh, LCSW
• Stephanie Vanlue, RBT
• Tamara Maxine Vanwinkle, MSW, LCSW
• Moriah Veach
• Velez Dental Group, LLC
• Donna Russell Venturini, M.D.
• Enilyn Villa, COTA
• Ashton Villarreal, RBT
• Vision Learning Center of Avon
• Brandi Volz

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.