1. Home
  2. Directory
  3. Pennsylvania
  4. Zelienople
  5. Dentist
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ROBERTO VELAZQUEZ
NPI 1356904734
Dentist - Oral and Maxillofacial Surgery in Zelienople, PA

Active since April 21, 2019Opted out of Medicare · through Jul 15, 2027
506 S MAIN ST STE 2101, ZELIENOPLE, PA 16063(724) 452-9153 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 25, 2026, Apr 21, 2019 (2 updates tracked since 2019).

About Roberto Velazquez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERTO VELAZQUEZ (NPI 1356904734) is an individual oral and maxillofacial surgery provider in Zelienople, Pennsylvania, licensed in Pennsylvania (DS045665) and active in the NPI registry since April 2019. He has opted out of Medicare through July 15, 2027.

NPPES Registry Identity

NPI1356904734
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameROBERTO VELAZQUEZ
Location Address506 S MAIN ST STE 2101Zelienople, PA 16063-1604
Mailing Address506 S Main St Ste 2101Zelienople, PA 16063-1604 · (724) 452-9153
Phone(724) 452-9153
Sole ProprietorNo
Enumeration DateApril 21, 2019
Last NPPES UpdateAugust 25, 20262 updates tracked since enumeration
NPPES CertifiedAugust 25, 2026
✔ NPI 1356904734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in PA · DS045665
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
506 S MAIN ST STE 2101, Zelienople, PA 16063
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Roberto Velazquez has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 15, 2025 through July 15, 2027.

Opt-Out Effective DateJuly 15, 2025
Opt-Out In Effect ThroughJuly 15, 2027Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roberto Velazquez's NPI number?

The NPI number for Roberto Velazquez is 1356904734. It was assigned to this individual provider in the NPPES registry on April 21, 2019.

Where is Roberto Velazquez located?

Roberto Velazquez practices at 506 S Main St Ste 2101, Zelienople, PA 16063. The listed phone number is (724) 452-9153.

What is Roberto Velazquez's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Roberto Velazquez enrolled in Medicare?

No. Roberto Velazquez has opted out of Medicare through July 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Roberto Velazquez was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.