Individual provider Active NPI

Belinda Brown-Joseph, D.M.D.,M.S.

  • Periodontics
  • Philadelphia, PA
National Provider Identifier
1053582742
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DS030579-L Issued in PA
Practice address
40 West Evergreen Avenue
Suite 111
Philadelphia, PA 19118
Phone
(215) 242-9411
Fax
(215) 242-3454
NPI assigned
Mar 20, 2008
Last updated
Mar 20, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DS030579-L PA Primary

Addresses

Primary practice location

40 West Evergreen Avenue
Suite 111
Philadelphia, PA 19118

Mailing address

40 West Evergreen Avenue
Suite 111
Philadelphia, PA 19118
Phone (215) 242-9411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jun 19, 2017 through Jun 19, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DS030579-LPAMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Daniel M. Mele III, DMD Past Accepting new patients
Mele Family Dentistry PC Periodontics PastSince Oct 19, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205971200000",
    "number": "1053582742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 WEST EVERGREEN AVENUE",
            "address_2": "SUITE 111",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19118",
            "telephone_number": "215-242-9411",
            "fax_number": "215-242-3454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 WEST EVERGREEN AVENUE",
            "address_2": "SUITE 111",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19118",
            "telephone_number": "215-242-9411",
            "fax_number": "215-242-3454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN-JOSEPH",
        "first_name": "BELINDA",
        "credential": "D.M.D.,M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-20",
        "last_updated": "2008-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "DS030579-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.