Active NPI
Rosa Bellido-Griffin, D.M.D.
- Dentist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019022398
- 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, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3392 | NH | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beloved Community Family Wellness Center | Current | Accepting new patients | |
| Beloved Community Family Wellness Center | Current | Accepting new patients | |
| Aria Dental Care PC | Dentist | Current | 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
- 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.
-
- Primary Care Clinic/Center
- Chicago, IL
- NPI 1760408439
-
- Federally Qualified Health Center (FQHC)
- Blue Island, IL
- NPI 1114278009
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.