Individual provider Active NPI

David Benjamin Belman, DDS

  • General Practice Dentistry
  • Keller, TX
National Provider Identifier
1508283961
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
32504 Issued in TX
Practice address
123 Keller Pkwy # 100
Keller, TX 76248
Phone
(817) 431-4200
NPI assigned
Mar 24, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 62643 CA
General Practice Dentistry 1223G0001X 32504 TX Primary

Addresses

Primary practice location

123 Keller Pkwy # 100
Keller, TX 76248

Mailing address

123 Keller Pkwy Ste 100
Keller, TX 76248-2255
Phone (817) 431-4200

Other practice location 1

7525 N Cedar Ave
Fresno, CA 93720-2614
Phone (559) 432-1300

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

LicenseStateTypeSpecialty
32504TXMDGeneral Practice Dentistry
62643CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Brent Cornelius DDS PA General Practice PastSince Jul 25, 2019 Accepting new patients
Sky Creek Dental PastSince Feb 1, 2022 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1508283961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 KELLER PKWY STE 100",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762482255",
            "telephone_number": "817-431-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 KELLER PKWY # 100",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "76248",
            "telephone_number": "817-431-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7525 N Cedar Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937202614",
            "country_code": "US",
            "telephone_number": "559-432-1300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELMAN",
        "first_name": "DAVID",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-24",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "62643",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "32504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keller, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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.