Active NPI
Robert Leroy Belt, MD
- Colon & Rectal Surgery Physician
- Laguna Beach, CA
National Provider Identifier
1023223849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- AFE16947
- Practice address
- 31561 Table Rock Dr
Unit 108
Laguna Beach, CA 92651 - Phone
- (949) 499-4950
- NPI assigned
- May 14, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | AFE16947 | CA | Primary |
Addresses
Primary practice location
31561 Table Rock Dr
Unit 108
Laguna Beach, CA 92651
Mailing address
31561 Table Rock Dr
Unit 108
Laguna Beach, CA 92651
Phone (949) 499-4950
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AFE16947 | CA | MD | Colon & Rectal Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023223849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31561 TABLE ROCK DR",
"address_2": "UNIT 108",
"city": "LAGUNA BEACH",
"state": "CA",
"postal_code": "92651",
"telephone_number": "949-499-4950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31561 TABLE ROCK DR",
"address_2": "UNIT 108",
"city": "LAGUNA BEACH",
"state": "CA",
"postal_code": "92651",
"telephone_number": "949-499-4950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELT",
"first_name": "ROBERT",
"middle_name": "LEROY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "CA",
"license": "AFE16947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laguna Beach, CA
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.