Active NPI
Harry Thomas Bell, D.D.S.
- General Practice Dentistry
- Southfield, MI
National Provider Identifier
1003985532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2901016361
- Practice address
- 24293 Telegraph Rd Ste 212
Southfield, MI 48034-7903 - Phone
- (248) 223-5639
- Fax
- (248) 223-5689
- NPI assigned
- Nov 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901016361 | MI | Primary |
Addresses
Primary practice location
24293 Telegraph Rd Ste 212
Southfield, MI 48034-7903
Mailing address
1701 Edington St
Portage, MI 49024-2525
Phone (269) 327-5650
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4911389 | Medicaid | MI | |
| D800438 | Other | MI | BLUE CROSS BLUE SHEILD NU |
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 |
|---|---|---|---|
| 2901016361 | MI | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1003985532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 EDINGTON ST",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490242525",
"telephone_number": "269-327-5650",
"fax_number": "224-822-3568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24293 TELEGRAPH RD STE 212",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480347903",
"telephone_number": "248-223-5639",
"fax_number": "248-223-5689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELL",
"first_name": "HARRY",
"middle_name": "THOMAS",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901016361",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4911389",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD NU",
"identifier": "D800438",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.