Leonardo Ardila Velosa, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

DN 20109 Issued in FL

Practice address

2801 SW 71St Ter
Apt 1012
Davie, FL 33314-1121

Phone

(954) 552-3879

NPI assigned

May 10, 2011

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370217600000",
    "number": "1851683759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 SW 71ST TER APT 1012",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333141121",
            "telephone_number": "954-552-3879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 SW 71ST TER",
            "address_2": "APT 1012",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333141121",
            "telephone_number": "954-552-3879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARDILA VELOSA",
        "first_name": "LEONARDO",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-10",
        "last_updated": "2013-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 20109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aniela Arce
• Deanna Archambault
• Barbara Arcos, D.O.
• Nicholas John Arcos, D.O.
• Mehulkumar Ardeshana, DMD
• Christopher Ardon
• Alain Arencibia Moreno
• Isseli Arencibia Perez
• Katileidi Arencibia
• Siarra Star Arendol

• Dentist in Davie, FL
• Providers in Davie, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; 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.