Kirk Bellis, D.O.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

DO-001 Issued in GU

Practice address

280 Pale San Vitores Rd
Sunflower Villa Suite 205
Tamuning, GU 96913-3615

Phone

(671) 646-4757

Fax

(671) 649-1022

NPI assigned

Feb 12, 2008

Last updated

Feb 12, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GU

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202774400000",
    "number": "1184892218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 PALE SAN VITORES RD",
            "address_2": "SUNFLOWER VILLA SUITE 205",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133615",
            "telephone_number": "671-646-4757",
            "fax_number": "671-649-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 PALE SAN VITORES RD",
            "address_2": "SUNFLOWER VILLA SUITE 205",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133615",
            "telephone_number": "671-646-4757",
            "fax_number": "671-649-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLIS",
        "first_name": "KIRK",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-12",
        "last_updated": "2008-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "GU",
            "license": "DO-001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arnie Lou Salazar Baker, NP
• Jesse Unsiog Baleto, MSW
• Dean Baugh, D.D.S.
• BC RX Services (Island Family Pharmacy)
• Mary F Beckett, MD
• Nathaniel Benjamin Berg, MD
• David Bero, D.D.S.
• Ellen Bez, MD
• Friedrich C Bieling, M.D.
• Eythor Bjorgvinsson, M.D.

• Child & Adolescent Psychiatry Physician in Tamuning, GU
• Providers in Tamuning, GU by specialty
• Child & Adolescent Psychiatry Physician in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.