Individual provider Active NPI

Jenny Bello, D.D.S

  • Dentist
  • Hollywood, FL
National Provider Identifier
1134416258
Registry record updated Dec 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN20435 Issued in FL
Practice address
3801 S Ocean Dr Apt 7E
Hollywood, FL 33019-2978
Phone
(305) 300-0019
Fax
(305) 827-6411
NPI assigned
Jul 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN20435 FL Primary

Addresses

Primary practice location

3801 S Ocean Dr Apt 7E
Hollywood, FL 33019-2978

Mailing address

3801 S Ocean Dr Apt 7E
Hollywood, FL 33019-2978
Phone (305) 300-0019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20240103000973 FL Order and Referring Only - DentistPractitioner - Dentist 9436469913

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN20435FLMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1310256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385942400000",
    "number": "1134416258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 S OCEAN DR APT 7E",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330192978",
            "telephone_number": "305-300-0019",
            "fax_number": "305-827-6411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 S OCEAN DR APT 7E",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330192978",
            "telephone_number": "305-300-0019",
            "fax_number": "305-827-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLO",
        "first_name": "JENNY",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-10",
        "last_updated": "2013-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.