Active NPI
Amine Bellil, DMD
- Oral and Maxillofacial Surgery (Dentist)
- West Des Moines, IA
National Provider Identifier
1639466733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DDS-09277
- Practice address
- 6630 Mills Civic Pkwy
West Des Moines, IA 50266-8285 - Phone
- (515) 650-9582
- NPI assigned
- Jul 9, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 056086 | NY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DDS-09277 | IA | Primary |
Addresses
Primary practice location
6630 Mills Civic Pkwy
West Des Moines, IA 50266-8285
Mailing address
6500 Ep True Parkway
1306
West Des Moines, IA 50266
Phone (843) 343-4156
Other practice location 1
111 E 210th St
Bronx, NY 10467-2401
Phone (718) 920-5993
Other practice location 2
111 E 210th St
Bronx, NY 10467-2401
Phone (718) 920-5993
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160819002005 | IA | Order and Referring Only - Oral Surgery | 8022303767 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056086 | NY | MD | Dentist |
| DDS-09277 | IA | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1639466733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6500 EP TRUE PARKWAY",
"address_2": "1306",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "50266",
"telephone_number": "843-343-4156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6630 MILLS CIVIC PKWY",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502668285",
"telephone_number": "515-650-9582"
}
],
"practiceLocations": [
{
"address_1": "111 E 210th St",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104672401",
"country_code": "US",
"telephone_number": "718-920-5993",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "111 E 210th St",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104672401",
"country_code": "US",
"telephone_number": "718-920-5993",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BELLIL",
"first_name": "AMINE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-09",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "056086",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "IA",
"license": "DDS-09277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.