Phillip Taylor Belder, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS042714 Issued in PA

Practice address

528 Street Rd
Southampton, PA 18966-3747

Phone

(215) 322-2262

NPI assigned

Jun 11, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Dens Inc

  • General Practice Dentistry
  • Southampton, PA
  • NPI 1659458222
  Medicare reassignment NPD
• Doylestown Smile Center LLC

  • General Practice Dentistry
  • Doylestown, PA
  • NPI 1497634752
  NPD

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1083239404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 DOGWOOD LN",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190062604",
            "telephone_number": "215-264-3345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 STREET RD",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663747",
            "telephone_number": "215-322-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELDER",
        "first_name": "PHILLIP",
        "middle_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS042714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eli Barrolle
• Thamar Barthelemy
• Daniel E Bassi
• Cecily Jennette Beauchamps, HHA
• Michael Belder, DDS
• Christine Marie Belinsky, M.S.
• Nicholas Bello, MD
• Justin Benner
• Sara Beth Bergman, COTA
• Jennifer Smith Berl, MA, LPC, NCC

• General Practice Dentistry in Southampton, PA
• Providers in Southampton, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.