Organization Active NPI

Bellissimo Dentistry, PLLC

  • General Practice Dentistry
  • Chandler, AZ
National Provider Identifier
1124522297
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9034 Issued in AZ
Legal business name
BELLISSIMO DENTISTRY, PLLC
Practice address
2815 E. Ocotillo Rd.
Ste. #3
Chandler, AZ 85249
Phone
(480) 935-5900
Fax
(480) 935-5901
NPI assigned
Mar 22, 2018
Organization subpart
Yes
Parent organization
BELLISSIMO DENTISTRY, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 22, 2018

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

Authorized official

Name
Dr. Eric Scott Bjerke, D.M.D.
Title
Owner/Dentist
Phone
(602) 412-8648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 9034 AZ Primary

Addresses

Primary practice location

2815 E. Ocotillo Rd.
Ste. #3
Chandler, AZ 85249

Mailing address

2815 E. Ocotillo Rd.
Ste. #3
Chandler, AZ 85249
Phone (480) 935-5900

National Provider Directory

National Provider Directory
Part of
Bellissimo Dentistry PLLC

NPI Registry JSON

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521676800000",
    "number": "1124522297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 E. OCOTILLO RD.",
            "address_2": "STE. #3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85249",
            "telephone_number": "480-935-5900",
            "fax_number": "480-935-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 E. OCOTILLO RD.",
            "address_2": "STE. #3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85249",
            "telephone_number": "480-935-5900",
            "fax_number": "480-935-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLISSIMO DENTISTRY, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BELLISSIMO DENTISTRY, PLLC",
        "enumeration_date": "2018-03-22",
        "last_updated": "2018-03-22",
        "status": "A",
        "authorized_official_last_name": "BJERKE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "602-412-8648",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "9034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; 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.