Individual provider Active NPI

Bradford A Belt, DMD

  • Dentist
  • Durango, CO
National Provider Identifier
1508022575
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10332 Issued in CO
Practice address
73 County Road 250
Durango, CO 81301-8530
Phone
(970) 259-3112
Fax
(970) 259-3826
NPI assigned
Jul 30, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10332 CO Primary

Addresses

Primary practice location

73 County Road 250
Durango, CO 81301-8530

Mailing address

73 County Road 250 Ste a
Durango, CO 81301-8530
Phone (970) 259-3112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150604002389 CO Order and Referring Only - DentistPractitioner - Dentist 2365763158

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10332COMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1508022575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 COUNTY ROAD 250 STE A",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813018530",
            "telephone_number": "970-259-3112",
            "fax_number": "970-259-3826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 COUNTY ROAD 250",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813018530",
            "telephone_number": "970-259-3112",
            "fax_number": "970-259-3826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELT",
        "first_name": "BRADFORD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-30",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "10332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

Verify at the official NPI Registry.