Donald E Bellebaum, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2903 Issued in SC

Practice address

7455 Cross County Rd
Suite 5
N Charleston, SC 29418-8470

Phone

(843) 552-4771

NPI assigned

Feb 2, 2007

Last updated

Jul 8, 2007By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Laser Dental of North Charleston

  • General Practice Dentistry
  • North Charleston, SC
  • NPI 1275070070
  NPD (past)

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326186206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7455 CROSS COUNTY RD",
            "address_2": "SUITE 5",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294188470",
            "telephone_number": "843-552-4771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7455 CROSS COUNTY RD",
            "address_2": "SUITE 5",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294188470",
            "telephone_number": "843-552-4771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLEBAUM",
        "first_name": "DONALD",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "2903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170716",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kalynne Kay Ballares, PT
• Manendu Banik, DMD
• Amy Elizabeth Bare
• Reginald B Basley
• Thaddeus John Bell, MD
• Bennett Chiropractic Center
• Antionette Akia Bennett, MD
• Timothy C Bennett, D.O.C
• Thomas Richard Bolt, MD
• Bon Secours St Francis Xavier Hospital, Inc. (Charleston Oncology A Department of Bon Secours St. Francis Hospital)

• General Practice Dentistry in N Charleston, SC
• Providers in N Charleston, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.