Belinda Ho Phan, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN122216 Issued in GA

Practice address

5520 Castleberry Rd # 200
Cumming, GA 30040-8054

Phone

(770) 203-0100

Fax

(770) 203-0101

NPI assigned

Apr 19, 2018

Last updated

Nov 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Honeybee Pediatric Dentistry PC

  • Pediatric Dentistry
  • Alpharetta, GA
  • NPI 1356053334
  NPD (past) Authorized official
• Coastal Pediatric Dentistry, LLC

  • Pediatric Dentistry
  • Hilton Head, SC
  • NPI 1780736546
  NPD (past)

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1134616675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5520 CASTLEBERRY RD # 200",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300408054",
            "telephone_number": "770-203-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5520 CASTLEBERRY RD # 200",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300408054",
            "telephone_number": "770-203-0100",
            "fax_number": "770-203-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "BELINDA",
        "middle_name": "HO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-19",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN122216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Petros, DPT
• George S Petryk, DC,DACNB,FACFN,FABES
• James Michael Petway, M.D., F.C.C.P.
• Brittany Petz
• Allison B Phad, CCC-SLP
• Lora Ann Pharis, OT
• Pharmetrx, LLC
• Paula Ruth Phillips-Duncan, RN, BSN, CBN
• Cody Lee Phillips, PTA
• Constance Geneva Phillips

• Pediatric Dentistry in Cumming, GA
• Providers in Cumming, GA by specialty
• Pediatric Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.

Verify at the official NPI Registry.