Individual provider Active NPI

Andrea M Bell, DMD

  • Dental Anesthesiology
  • El Paso, TX
National Provider Identifier
1154500247
Registry record updated Oct 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AnesthesiologyTaxonomy code 1223D0004X
License
36680 Issued in TX
Practice address
625 El Gusto Dr
El Paso, TX 79912-2517
Phone
(314) 853-1978
NPI assigned
Oct 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Anesthesiology 1223D0004X DS041498 PA
Dental Anesthesiology 1223D0004X 36680 TX Primary

Addresses

Primary practice location

625 El Gusto Dr
El Paso, TX 79912-2517

Mailing address

3401 Royal Vista Blvd Ste A100
Round Rock, TX 78681-1149
Phone (314) 853-1978

Other practice location 1

3401 Royal Vista Blvd Ste A100
Round Rock, TX 78681-1149
Phone (314) 853-1978

Other practice location 2

3223 N Broad St
Philadelphia, PA 19140-5007
Phone (215) 707-7875

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36680TXMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604102400000",
    "number": "1154500247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 ROYAL VISTA BLVD STE A100",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786811149",
            "telephone_number": "314-853-1978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 EL GUSTO DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799122517",
            "telephone_number": "314-853-1978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401 Royal Vista Blvd Ste A100",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786811149",
            "country_code": "US",
            "telephone_number": "314-853-1978",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3223 N Broad St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191405007",
            "country_code": "US",
            "telephone_number": "215-707-7875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELL",
        "first_name": "ANDREA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-25",
        "last_updated": "2020-10-31",
        "certification_date": "2020-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "PA",
            "license": "DS041498",
            "primary": false
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "TX",
            "license": "36680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.