Organization Active NPI

Bella Via Dental, PLLC

  • Dental Clinic/Center
  • Mesa, AZ
National Provider Identifier
1366906190
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BELLA VIA DENTAL, PLLC
Practice address
4425 S Mountain Rd Ste 106
Mesa, AZ 85212-7132
Phone
(480) 292-8429
NPI assigned
Jan 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2019

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

Authorized official

Name
Dr. David Buhrley, DMDNPI 1659412005
Title
Manager
Phone
(480) 292-8429

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

4425 S Mountain Rd Ste 106
Mesa, AZ 85212-7132

Mailing address

4425 S Mountain Rd Ste 106
Mesa, AZ 85212-7132
Phone (480) 292-8429

Other identifiers 1

IdentifierTypeStateIssuer
1659412005MedicaidAZ

National Provider Directory

National Provider Directory

Locations

4425 S Mountain Rd
Ste 106
Mesa, AZ 85212
Phone (480) 292-8429

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548374400000",
    "number": "1366906190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 S MOUNTAIN RD STE 106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852127132",
            "telephone_number": "480-292-8429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 S MOUNTAIN RD STE 106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852127132",
            "telephone_number": "480-292-8429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA VIA DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-25",
        "last_updated": "2019-01-25",
        "status": "A",
        "authorized_official_last_name": "BUHRLEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-292-8429",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659412005",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; 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.