Active NPI
Homer Clark Bell III, DDS
- Dentist
- Greensboro, NC
National Provider Identifier
1376713149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3645
- Practice address
- 1601 West Cornwallis Drive
Greensboro, NC 27408 - Phone
- (336) 274-6388
- Fax
- (336) 230-2000
- NPI assigned
- Mar 7, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3645 | NC | Primary |
Addresses
Primary practice location
1601 West Cornwallis Drive
Greensboro, NC 27408
Mailing address
1601 West Cornwallis Drive
Greensboro, NC 27408
Phone (336) 274-6388
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3645 | NC | MD | Environmental Modification Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204848000000",
"number": "1376713149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 WEST CORNWALLIS DRIVE",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "27408",
"telephone_number": "336-274-6388",
"fax_number": "336-230-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 WEST CORNWALLIS DRIVE",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "27408",
"telephone_number": "336-274-6388",
"fax_number": "336-230-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELL",
"first_name": "HOMER",
"middle_name": "CLARK",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-07",
"last_updated": "2008-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "3645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.