Organization Active NPI

J. Mario Velasquez D.D.S.

  • Dentist
  • Houston, TX
National Provider Identifier
1851507883
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
J. MARIO VELASQUEZ D.D.S.
Practice address
9388 Richmond Ave
Houston, TX 77063-3947
Phone
(713) 785-3355
Fax
(713) 785-7007
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Carol P Jaramillo, OM
Title
Manager
Phone
(713) 785-3355

Specialties & licenses 1

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

Addresses

Primary practice location

9388 Richmond Ave
Houston, TX 77063-3947

Mailing address

9388 Richmond Ave
Houston, TX 77063-3947
Phone (713) 785-3355

Other identifiers 1

IdentifierTypeStateIssuer
009790903MedicaidTX

Other names 1

  • Dental Innovations Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dental Innovations3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9388 Richmond Ave
Houston, TX 77063
Phone (713) 785-3355

Practitioners & affiliated clinicians

Practitioners 2

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": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1851507883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9388 RICHMOND AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770633947",
            "telephone_number": "713-785-3355",
            "fax_number": "713-785-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9388 RICHMOND AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770633947",
            "telephone_number": "713-785-3355",
            "fax_number": "713-785-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. MARIO VELASQUEZ D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "JARAMILLO",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "713-785-3355",
        "authorized_official_credential": "OM"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009790903",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Innovations",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.