Individual provider Active NPI

Pablo Velazquez

  • Dentist
  • Brandon, FL
National Provider Identifier
1992495238
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN30762 Issued in FL
Practice address
921 S Parsons Ave
Brandon, FL 33511-6008
Phone
(754) 610-8595
NPI assigned
May 10, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X RES.004590 OH
Dentist 122300000X DN30762 FL Primary

Addresses

Primary practice location

921 S Parsons Ave
Brandon, FL 33511-6008

Mailing address

3322 SW 181St Ter
Miramar, FL 33029-1632
Phone (754) 610-8595

Other practice location 1

3322 SW 181st Ter
Miramar, FL 33029-1632
Phone (754) 610-8595

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

LicenseStateTypeSpecialty
DN30762FLMDDentist
RES.004590OHMDStudent in an Organized Health Care Education/Training Program

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1992495238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3322 SW 181ST TER",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330291632",
            "telephone_number": "754-610-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 S PARSONS AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116008",
            "telephone_number": "754-610-8595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3322 SW 181st Ter",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330291632",
            "country_code": "US",
            "telephone_number": "754-610-8595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELAZQUEZ",
        "first_name": "PABLO",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-10",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "RES.004590",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN30762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.