Active NPI
Kendra Velasquez, DDS
- Dentist
- Rio Rancho, NM
National Provider Identifier
1932549094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN00203020
- Practice address
- 1904 Wellspring Ave SE Ste 101
Rio Rancho, NM 87124-4888 - Phone
- (505) 896-6654
- NPI assigned
- Jul 2, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DD3908 | NM | |
| Dentist | 122300000X | DEN00203020 | CO | Primary |
Addresses
Primary practice location
1904 Wellspring Ave SE Ste 101
Rio Rancho, NM 87124-4888
Mailing address
8423 Front Royal CT NW
Albuquerque, NM 87120-3860
Phone (505) 620-2647
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 |
|---|---|---|---|
| DEN00203020 | CO | MD | Dentist |
| DD3908 | NM | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721520000000",
"number": "1932549094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8423 FRONT ROYAL CT NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871203860",
"telephone_number": "505-620-2647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1904 WELLSPRING AVE SE STE 101",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871244888",
"telephone_number": "505-896-6654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELASQUEZ",
"first_name": "KENDRA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-02",
"last_updated": "2024-07-21",
"certification_date": "2024-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NM",
"license": "DD3908",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "DEN00203020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rio Rancho, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.