Alfredo Velazquez, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

44119 Issued in CA

Practice address

189 N E St
San Bernardino, CA 92401-1901

Phone

(909) 383-8328

Fax

(909) 383-8332

NPI assigned

Jul 20, 2006

Last updated

Jan 18, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Av Family Dentistry

  • General Practice Dentistry
  • Riverside, CA
  • NPI 1205452265
  NPD Authorized official
• Alfredo Velazquez DDS, Inc

  dba Central City Dental Office

  • Dentist
  • San Bernardino, CA
  • NPI 1124227947
  NPD (past) Authorized official

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484697600000",
    "number": "1700806924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 N E ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011901",
            "telephone_number": "909-383-8328",
            "fax_number": "909-383-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 N E ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011901",
            "telephone_number": "909-383-8328",
            "fax_number": "909-383-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELAZQUEZ",
        "first_name": "ALFREDO",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2017-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "330985090",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "273631265",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chloe Velasquez
• Juan Velasquez, M.D.
• Nathan J Velasquez
• Vanessa Velasquez
• Stephen Velazco, B.S.
• Cristina Velazquez, LCSW
• Denise Velazquez
• Kimberly Velazquez
• Luis Alfredo Velazquez, DDS
• Diana Veles

• General Practice Dentistry in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.