Individual provider Active NPI

Bella Makagon, DMD

  • General Practice Dentistry
  • Seattle, WA
National Provider Identifier
1083800049
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE60058471 Issued in WA
Practice address
116 Fairview Ave N
Suite 148
Seattle, WA 98109-5360
Phone
(206) 682-7942
Fax
(206) 701-7965
NPI assigned
Sep 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2012

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 DE60058471 WA Primary

Addresses

Primary practice location

116 Fairview Ave N
Suite 148
Seattle, WA 98109-5360

Mailing address

116 Fairview Ave N
Suite 148
Seattle, WA 98109-5360
Phone (206) 682-7942

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
DE60058471WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Bella Makagon Dentistry, PS Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1190505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326153600000",
    "number": "1083800049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 FAIRVIEW AVE N",
            "address_2": "SUITE 148",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981095360",
            "telephone_number": "206-682-7942",
            "fax_number": "206-701-7965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 FAIRVIEW AVE N",
            "address_2": "SUITE 148",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981095360",
            "telephone_number": "206-682-7942",
            "fax_number": "206-701-7965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKAGON",
        "first_name": "BELLA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-23",
        "last_updated": "2012-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60058471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; 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.