Active NPI
Mackenzie Grace Velk, DMD
- Dentist
- Camp Lejeune, NC
National Provider Identifier
1891515722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10821
- Practice address
- Commanding Officer, Naval Medical Center
100 Brewster Blvd
Camp Lejeune, NC 28547 - Phone
- (910) 451-2208
- NPI assigned
- Oct 15, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 10821 | SC | Primary |
Addresses
Primary practice location
Commanding Officer, Naval Medical Center
100 Brewster Blvd
Camp Lejeune, NC 28547
Mailing address
Commanding Officer, Naval Medical Center
100 Brewster Blvd
Camp Lejeune, NC 28547
Phone (910) 451-2208
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10821 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728950400000",
"number": "1891515722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "COMMANDING OFFICER, NAVAL MEDICAL CENTER",
"address_2": "100 BREWSTER BLVD",
"city": "CAMP LEJEUNE",
"state": "NC",
"postal_code": "28547",
"telephone_number": "910-451-2208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "COMMANDING OFFICER, NAVAL MEDICAL CENTER",
"address_2": "100 BREWSTER BLVD",
"city": "CAMP LEJEUNE",
"state": "NC",
"postal_code": "28547",
"telephone_number": "910-451-2208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELK",
"first_name": "MACKENZIE",
"middle_name": "GRACE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-15",
"last_updated": "2024-10-15",
"certification_date": "2024-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "10821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camp Lejeune, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.