Active NPI
William J & Kathleen E Bellamy PTR
- General Practice Dentistry
- Duluth, MN
National Provider Identifier
1154473189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D9789 D9795
- Legal business name
- WILLIAM J & KATHLEEN E BELLAMY PTR
- Practice address
- 1324 E 1St St
Duluth, MN 55805-2403 - Phone
- (218) 724-1332
- Fax
- (218) 724-2184
- NPI assigned
- Jan 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William Jay Bellamy, D.D.S.
- Title
- General Partner
- Phone
- (218) 724-1332
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D9789 D9795 | MN | Primary |
Addresses
Primary practice location
1324 E 1St St
Duluth, MN 55805-2403
Mailing address
1324 E 1St St
Duluth, MN 55805-2403
Phone (218) 724-1332
Other names 1
- CHESTER CREEK DENTAL
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Duluth, MN
- NPI 1720130735
-
- General Practice Dentistry
- Duluth, MN
- NPI 1619357266
-
- General Practice Dentistry
- Duluth, MN
- NPI 1144372160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1154473189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1324 E 1ST ST",
"city": "DULUTH",
"state": "MN",
"postal_code": "558052403",
"telephone_number": "218-724-1332",
"fax_number": "218-724-2184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1324 E 1ST ST",
"city": "DULUTH",
"state": "MN",
"postal_code": "558052403",
"telephone_number": "218-724-1332",
"fax_number": "218-724-2184"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM J & KATHLEEN E BELLAMY PTR",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BELLAMY",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "JAY",
"authorized_official_title_or_position": "GENERAL PARTNER",
"authorized_official_telephone_number": "218-724-1332",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "MN",
"license": "D9789 D9795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CHESTER CREEK DENTAL",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Duluth, MN
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.