Bella Vita Dental

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

25737 Issued in TX

Legal business name

BELLA VITA DENTAL

Practice address

8410 Fondren Rd
Houston, TX 77074-5616

Phone

(713) 772-2676

Fax

(713) 772-2678

NPI assigned

Apr 23, 2012

Last updated

Apr 23, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Akudo L Ekwem, DDS

Title

Owner

Phone

(713) 772-2676

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1164789558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8410 FONDREN RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770745616",
            "telephone_number": "713-772-2676",
            "fax_number": "713-772-2678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8410 FONDREN RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770745616",
            "telephone_number": "713-772-2676",
            "fax_number": "713-772-2678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA VITA DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-23",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "EKWEM",
        "authorized_official_first_name": "AKUDO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-772-2676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "TX",
            "license": "25737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bella Dental, PLLC
• Bella Medical Supplies LLC
• Bella Perkins Nobles (Back On Track Physical Medicine)
• Bella Vista Medical Group, LLC
• Bella Vita Counseling & Wellness Center, PLLC
• Gordon Bellah Jr., M.D.
• Bellaire 24 Hour Imaging Center LLC
• Bellaire Adult Day Care LLC
• Bellaire Best Pharmacy, LLC (Bellaire Best Care Pharmacy)
• Bellaire Cardiovascular Care PA

• Point of Service in Houston, TX
• Providers in Houston, TX by specialty
• Point of Service in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.