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JERARDY IVAN VELASQUEZ-BRAVO
NPI 1861311573
Dental Assistant in Fort Polk, LA

Active since July 15, 2026
6180 UNIVERSITY PKWY UNIT 3905, FORT POLK, LA 71459(757) 709-5503 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Jerardy Ivan Velasquez-bravo NPPES

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

JERARDY IVAN VELASQUEZ-BRAVO (NPI 1861311573) is an individual dental assistant in Fort Polk, Louisiana and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1861311573
Entity TypeIndividualMale
Primary Taxonomy126800000X
Provider Legal NameJERARDY IVAN VELASQUEZ-BRAVO
Location Address6180 UNIVERSITY PKWY UNIT 3905Fort Polk, LA 71459-3118
Mailing Address6180 University Pkwy Unit 3905Fort Polk, LA 71459-3118 · (757) 709-5503
Phone(757) 709-5503
Sole ProprietorNo
Enumeration DateJuly 15, 2026
NPPES CertifiedJuly 15, 2026
✔ NPI 1861311573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental AssistantDental Providers
Taxonomy Code126800000X
Definition
An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.
6180 UNIVERSITY PKWY UNIT 3905, Fort Polk, LA 71459
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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 Jerardy Velasquez-bravo's NPI number?

The NPI number for Jerardy Velasquez-bravo is 1861311573. It was assigned to this individual provider in the NPPES registry on July 15, 2026.

Where is Jerardy Velasquez-bravo located?

Jerardy Velasquez-bravo practices at 6180 University Pkwy Unit 3905, Fort Polk, LA 71459. The listed phone number is (757) 709-5503.

What is Jerardy Velasquez-bravo's specialty?

The primary specialty registered for this NPI is Dental Assistant with taxonomy code 126800000X.

When was this NPI record last updated?

The NPPES record for Jerardy Velasquez-bravo was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.