Bellasera Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BELLASERA FAMILY DENTISTRY

Practice address

3041 Senna Dr
Matthews, NC 28105-6727

Phone

(704) 321-7929

Fax

(704) 321-2908

NPI assigned

Dec 16, 2021

Last updated

Dec 16, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ryan K Hukill, DDSNPI 1053608935

Title

Partner

Phone

(704) 321-7929

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ryan Keith Hukill, D.D.S.

  • Dentist
  • Mattews, NC
  • NPI 1053608935
  NPD Authorized official
• Jason T Loker, DDS

  • General Practice Dentistry
  • Matthews, NC
  • NPI 1841236650
  NPD (past)

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

{
    "created_epoch": "1639612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639612800000",
    "number": "1477212421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3041 SENNA DR",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281056727",
            "telephone_number": "704-321-7929",
            "fax_number": "704-321-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3041 SENNA DR",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281056727",
            "telephone_number": "704-321-7929",
            "fax_number": "704-321-2908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLASERA FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-16",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A",
        "authorized_official_last_name": "HUKILL",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "704-321-7929",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peri Beatty
• David Lowell Becker, M.D.
• Kenya Tiffany Beckford, MSW, LCSWA
• Paige Marguerite Beissert
• Christopher Bell, PHARMD
• Brendan Bellavia
• Emily Motaleb Bellis, PA-C
• Susan J Belsante, MA CCCSLP
• Jennifer Ben-Hail, MS, OTR/L
• Benchmark Physical Therapy of NC, LLC

• General Practice Dentistry in Matthews, NC
• Providers in Matthews, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; 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.