Individual provider Active NPI

George G. Bellios, DMD

  • General Practice Dentistry
  • Pittsburgh, PA
National Provider Identifier
1003905373
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
028419 Issued in PA
Practice address
3247 W Liberty Ave
Pittsburgh, PA 15216-2319
Phone
(412) 344-5288
Fax
(412) 344-4388
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 028419 PA Primary

Addresses

Primary practice location

3247 W Liberty Ave
Pittsburgh, PA 15216-2319

Mailing address

5866 Ellsworth Ave
Pittsburgh, PA 15232-1738
Phone (412) 244-5288

Other identifiers 2

IdentifierTypeStateIssuer
01512000OtherPATAX ID NUMBER
015192OtherPAUNITED CONCORDIA PROVIDER

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
028419PAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003905373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5866 ELLSWORTH AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152321738",
            "telephone_number": "412-244-5288",
            "fax_number": "412-344-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3247 W LIBERTY AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152162319",
            "telephone_number": "412-344-5288",
            "fax_number": "412-344-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLIOS",
        "first_name": "GEORGE",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "028419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID NUMBER",
            "identifier": "01512000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROVIDER",
            "identifier": "015192",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.