Individual provider Active NPI

Rosa Bellido-Griffin, D.M.D.

  • Dentist
  • Chicago, IL
National Provider Identifier
1649484353
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019022398 Issued in IL
Practice address
4446 N Western Ave Ste 1
Chicago, IL 60625-2175
Phone
(872) 208-5240
Fax
(872) 208-5051
NPI assigned
May 10, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3392 NH
Dentist 122300000X 019022398 IL Primary

Addresses

Primary practice location

4446 N Western Ave Ste 1
Chicago, IL 60625-2175

Mailing address

4446 N Western Ave Ste 1
Chicago, IL 60625-2175
Phone (872) 208-5240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20190412001581 IL Practitioner - Dentist 4183911522 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3392NHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Beloved Community Family Wellness Center CurrentSince Feb 10, 2019 Accepting new patients
Beloved Community Family Wellness Center CurrentSince Feb 10, 2019 Accepting new patients
Aria Dental Care PC Dentist CurrentSince Sep 2, 2025 Accepting new patients

Locations

326 W 64th St
Ste 205
Chicago, IL 60621
Phone (773) 651-3629

901 S 2nd St
Ste 201
Springfield, IL 62704
Phone (312) 560-2917

8500 W 110th St
Ste 450
Overland Park, KS 66210
Phone (888) 674-1211

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1649484353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4446 N WESTERN AVE STE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252175",
            "telephone_number": "872-208-5240",
            "fax_number": "872-208-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4446 N WESTERN AVE STE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252175",
            "telephone_number": "872-208-5240",
            "fax_number": "872-208-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLIDO-GRIFFIN",
        "first_name": "ROSA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NH",
            "license": "3392",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019022398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.