Individual provider Active NPI

Elysia P Belva, D.D.S.

  • General Practice Dentistry
  • Hixson, TN
National Provider Identifier
1275869034
Registry record updated Oct 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9069 Issued in TN
Practice address
5213 Hixson Pike
Hixson, TN 37343-3928
Phone
(423) 877-9961
Fax
(423) 877-8624
NPI assigned
Oct 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9069 TN Primary

Addresses

Primary practice location

5213 Hixson Pike
Hixson, TN 37343-3928

Mailing address

5213 Hixson Pike
Hixson, TN 37343-3928
Phone (423) 877-9961

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256688000000",
    "number": "1275869034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5213 HIXSON PIKE",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373433928",
            "telephone_number": "423-877-9961",
            "fax_number": "423-877-8624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5213 HIXSON PIKE",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373433928",
            "telephone_number": "423-877-9961",
            "fax_number": "423-877-8624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELVA",
        "first_name": "ELYSIA",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-28",
        "last_updated": "2009-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "9069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hixson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2009; 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.