Active NPI
NBD Bel Drive LLC
Doing business as Bel Drive Dental
- General Practice Dentistry
- Omaha, NE
National Provider Identifier
1184119547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- NBD BEL DRIVE LLC
- Doing business as
- Bel Drive Dental
- Practice address
- 2456 S 120TH St
Omaha, NE 68144 - Phone
- (402) 333-1313
- Fax
- (402) 333-0777
- NPI assigned
- Jun 28, 2018
- Last updated
- May 27, 2021
- 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
- Melissa Ryan
- Title
- HR Director
- Phone
- (605) 261-8167
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
2456 S 120TH St
Omaha, NE 68144
Mailing address
2456 S 120TH St
Omaha, NE 68144
Phone (402) 333-1313
Other names 1
- Bel Drive Dental
National Provider Directory
National Provider DirectoryLocations
2456 S 120th St
Omaha, NE 68144
Phone (402) 333-1313
4009 W 49th St
Ste 202
Sioux Falls, SD 57106
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Omaha, NE
- NPI 1033695366
-
- General Practice Dentistry
- Omaha, NE
- NPI 1215158126
-
- General Practice Dentistry
- Omaha, NE
- NPI 1487175634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1622073600000",
"number": "1184119547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2456 S 120TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "68144",
"telephone_number": "402-333-1313",
"fax_number": "402-333-0777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2456 S 120TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "68144",
"telephone_number": "402-333-1313",
"fax_number": "402-333-0777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NBD BEL DRIVE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-28",
"last_updated": "2021-05-27",
"certification_date": "2021-05-27",
"status": "A",
"authorized_official_last_name": "RYAN",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "HR DIRECTOR",
"authorized_official_telephone_number": "605-261-8167"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bel Drive Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.