Active NPI
Rick D Beller, MD
- Orthopaedic Surgery Physician
- Edmond, OK
National Provider Identifier
1427044015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 10007
- Practice address
- 1701 Renaissance Blvd
Suite 100
Edmond, OK 73013-3084 - Phone
- (405) 348-3434
- Fax
- (405) 341-9429
- NPI assigned
- Sep 20, 2005
- Last updated
- Jun 30, 2010
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 10007 | OK | |
| Orthopaedic Surgery Physician | 207X00000X | 10007 | OK | Primary |
Addresses
Primary practice location
1701 Renaissance Blvd
Suite 100
Edmond, OK 73013-3084
Mailing address
720 S. Colorado Blvd
Suite 220a
Glendale, CO 80246-1912
Phone (405) 348-3434
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100122800A | Medicaid | OK | |
| 400522439 | Other | OK | MEDICARE GROUP NUMBER |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edmond Spine and Orthopedics Services LLC | Orthopaedic Surgery of the Spine | Past | Accepting new patients |
| The Physicians Group LLC | Orthopaedic Surgery | Past | Accepting new patients |
Organizations & group practices 2
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 Physician
- Oklahoma City, OK
- NPI 1487620381
Orthopaedic Surgery
-
- Orthopaedic Surgery of the Spine Physician
- Denver, CO
- NPI 1205825882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277856000000",
"number": "1427044015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 S. COLORADO BLVD",
"address_2": "SUITE 220A",
"city": "GLENDALE",
"state": "CO",
"postal_code": "802461912",
"telephone_number": "405-348-3434",
"fax_number": "405-341-9429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 RENAISSANCE BLVD",
"address_2": "SUITE 100",
"city": "EDMOND",
"state": "OK",
"postal_code": "730133084",
"telephone_number": "405-348-3434",
"fax_number": "405-341-9429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLER",
"first_name": "RICK",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-20",
"last_updated": "2010-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "OK",
"license": "10007",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OK",
"license": "10007",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100122800A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "400522439",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.