Active NPI
Chad Michael Belongea, D.D.S.
- Dentist
- Littleton, CO
National Provider Identifier
1407850084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN.00201939
- Practice address
- 7735 W Long Dr Unit 9
Littleton, CO 80123-1262 - Phone
- (303) 933-8880
- Fax
- (303) 442-4396
- NPI assigned
- Jun 10, 2005
- Last updated
- Mar 15, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DEN.00201939 | CO | Primary |
| General Practice Dentistry | 1223G0001X | 30021385 | OH |
Addresses
Primary practice location
7735 W Long Dr Unit 9
Littleton, CO 80123-1262
Mailing address
10843 Heatherton St
Highlands Ranch, CO 80130-6622
Phone (419) 779-0985
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DEN.00201939 | Other | CO | DENTAL LICENSE |
| 30021385 | Other | OH | DENTAL LICENSE |
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 |
|---|---|---|---|
| DEN.00201939 | CO | MD | Dentist |
| 30021385 | OH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Littleton Dental | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Littleton, CO
- NPI 1558651042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426377600000",
"number": "1407850084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10843 HEATHERTON ST",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801306622",
"telephone_number": "419-779-0985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7735 W LONG DR UNIT 9",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801231262",
"telephone_number": "303-933-8880",
"fax_number": "303-442-4396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELONGEA",
"first_name": "CHAD",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-10",
"last_updated": "2015-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "DEN.00201939",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "30021385",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL LICENSE",
"identifier": "DEN.00201939",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL LICENSE",
"identifier": "30021385",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Littleton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.