Organization Active NPI

J Kevin Belville MD PC

  • Ophthalmology Physician
  • Hastings, NE
National Provider Identifier
1124137922
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
14789 Issued in NE
Legal business name
J KEVIN BELVILLE MD PC
Practice address
1414 W 12TH St
Hastings, NE 68901-3742
Phone
(402) 462-9191
Fax
(402) 462-9192
NPI assigned
Aug 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mary Aderholt, COE
Title
Office Manager
Phone
(402) 462-9191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 14789 NE Primary

Addresses

Primary practice location

1414 W 12TH St
Hastings, NE 68901-3742

Mailing address

1414 W 12TH St
Hastings, NE 68901-3742
Phone (402) 462-9191

Other names 1

  • Vondrak-Belville Eye Care and Surgery Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124137922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 W 12TH ST",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689013742",
            "telephone_number": "402-462-9191",
            "fax_number": "402-462-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 W 12TH ST",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689013742",
            "telephone_number": "402-462-9191",
            "fax_number": "402-462-9192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J KEVIN BELVILLE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ADERHOLT",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "402-462-9191",
        "authorized_official_credential": "COE"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NE",
            "license": "14789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vondrak-Belville Eye Care and Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hastings, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.