NPIMap

Organization Active NPI

Bella Dental, Inc.

  • Dental Clinic/Center
  • San Leandro, CA
National Provider Identifier
1508182510
Registry record updated Apr 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
57905 Issued in CA
Legal business name
BELLA DENTAL, INC.
Practice address
250 Juana Ave
Ste 102
San Leandro, CA 94577-4841
Phone
(510) 483-2670
Fax
(510) 483-1566
NPI assigned
Apr 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2010

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

Authorized official

Name
Dr. Susan Oh, D.D.S.NPI 1932349990
Title
Vice President
Phone
(510) 483-2670

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 57905 CA Primary

Addresses

Primary practice location

250 Juana Ave
Ste 102
San Leandro, CA 94577-4841

Mailing address

250 Juana Ave
Ste 102
San Leandro, CA 94577-4841
Phone (510) 483-2670

National Provider Directory

National Provider Directory

Locations

250 Juana Ave
Ste 102
San Leandro, CA 94577
Phone (510) 483-2670

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271289600000",
    "number": "1508182510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 JUANA AVE",
            "address_2": "STE 102",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774841",
            "telephone_number": "510-483-2670",
            "fax_number": "510-483-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 JUANA AVE",
            "address_2": "STE 102",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774841",
            "telephone_number": "510-483-2670",
            "fax_number": "510-483-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA DENTAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-15",
        "last_updated": "2010-04-15",
        "status": "A",
        "authorized_official_last_name": "OH",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "510-483-2670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "57905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.

Verify at the official NPI Registry.