NPIMap

Organization Active NPI

Velk Family Dentistry

  • Dentist
  • Wildomar, CA
National Provider Identifier
1821405218
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
44375 Issued in CA
Legal business name
VELK FAMILY DENTISTRY
Practice address
32475 Clinton Keith Rd
Suite 115
Wildomar, CA 92595
Phone
(951) 609-0445
Fax
(951) 609-1338
NPI assigned
Jul 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2014

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

Authorized official

Name
Eric Duane Velk, DDSNPI 1538430426
Title
Owner
Phone
(951) 609-0445

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 44375 CA Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 44376 CA

Addresses

Primary practice location

32475 Clinton Keith Rd
Suite 115
Wildomar, CA 92595

Mailing address

32475 Clinton Keith Rd
Suite 115
Wildomar, CA 92595
Phone (951) 609-0445

National Provider Directory

National Provider Directory

Locations

32475 Clinton Keith Rd
Ste 115
Wildomar, CA 92595
Phone (951) 609-0445

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405555200000",
    "number": "1821405218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32475 CLINTON KEITH RD",
            "address_2": "SUITE 115",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "92595",
            "telephone_number": "951-609-0445",
            "fax_number": "951-609-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32475 CLINTON KEITH RD",
            "address_2": "SUITE 115",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "92595",
            "telephone_number": "951-609-0445",
            "fax_number": "951-609-1338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VELK FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-17",
        "last_updated": "2014-07-17",
        "status": "A",
        "authorized_official_last_name": "VELK",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "DUANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-609-0445",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "44375",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "44376",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wildomar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; 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.