Individual provider Active NPI

Ross Louis Bellinghiere, D.D.S.

  • Dentist
  • Omaha, NE
National Provider Identifier
1619966074
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4672 Issued in NE
Practice address
1941 S 42ND St
310
Omaha, NE 68105-2939
Phone
(402) 345-7800
Fax
(402) 345-7508
NPI assigned
Oct 18, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4672 NE Primary

Addresses

Primary practice location

1941 S 42ND St
310
Omaha, NE 68105-2939

Mailing address

1941 S 42ND St
310
Omaha, NE 68105-2939
Phone (402) 345-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20160401001016 NE Order and Referring Only - DentistPractitioner - Dentist 8224346887

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4672NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kimberly J Polley DDS, LLC Dentist Past Accepting new patients
Ross L. Bellinghiere, D.D.S., P.C. Dentist PastSince Aug 1, 1978 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": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441756800000",
    "number": "1619966074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 S 42ND ST",
            "address_2": "310",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681052939",
            "telephone_number": "402-345-7800",
            "fax_number": "402-345-7508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 S 42ND ST",
            "address_2": "310",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681052939",
            "telephone_number": "402-345-7800",
            "fax_number": "402-345-7508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLINGHIERE",
        "first_name": "ROSS",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2015-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "4672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.