Organization Active NPI

Bella Dental, PLLC

  • Dentist
  • Katy, TX
National Provider Identifier
1376760033
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
08554 Issued in TX
Legal business name
BELLA DENTAL, PLLC
Practice address
5516 Fry Road
Katy, TX 77449-5746
Phone
(281) 859-7777
Fax
(281) 656-2205
NPI assigned
Apr 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Fatemeh Bijan, DDS
Title
President
Phone
(281) 859-7777

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 19864 TX
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 20413 TX
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 08554 TX Primary

Addresses

Primary practice location

5516 Fry Road
Katy, TX 77449-5746

Mailing address

5516 Fry Road
Katy, TX 77449-5746
Phone (281) 859-7777

National Provider Directory

National Provider Directory
Tax ID family
Bella Dental PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376760033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5516 FRY ROAD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774495746",
            "telephone_number": "281-859-7777",
            "fax_number": "281-656-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5516 FRY ROAD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774495746",
            "telephone_number": "281-859-7777",
            "fax_number": "281-656-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BIJAN",
        "authorized_official_first_name": "FATEMEH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-859-7777",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "19864",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "20413",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "08554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.