Active NPI
Jenny Bello, D.D.S
- Dentist
- Hollywood, FL
National Provider Identifier
1134416258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN20435
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240103000973 | FL | Order and Referring Only - Dentist | 9436469913 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN20435 | FL | MD | Dentist |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; 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.