Organization Active NPI

William J & Kathleen E Bellamy PTR

  • General Practice Dentistry
  • Duluth, MN
National Provider Identifier
1154473189
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D9789 D9795 Issued in MN
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

Updated by the provider on Aug 22, 2020

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.NPI 1720130735
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.