Organization Active NPI

Medical Aesthetics & Regenerative Center

Doing business as Bello Medical Aesthetics; Knoxville Regenerative Center

  • Neurology Physician
  • Knoxville, TN
National Provider Identifier
1669098406
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
MEDICAL AESTHETICS & REGENERATIVE CENTER
Doing business as
Bello Medical Aesthetics; Knoxville Regenerative Center
Practice address
6311 Kingston Pike Ste 3E
Knoxville, TN 37919-4906
Phone
(865) 248-3138
Fax
(865) 381-9767
NPI assigned
Jun 17, 2020
Last updated
Jun 17, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
MEDICAL AESTHETICS & REGENERATIVE CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Authorized official

Name
Dr. Rey Nangkil Bello, MDNPI 1780796409
Title
Medical Director
Phone
(865) 248-3138

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

6311 Kingston Pike Ste 3E
Knoxville, TN 37919-4906

Mailing address

6311 Kingston Pike Ste 3E
Knoxville, TN 37919-4906
Phone (865) 248-3138

Other names 1

  • Bello Medical Aesthetics; Knoxville Regenerative Center Doing business as

National Provider Directory

National Provider Directory
Part of
Medical Aesthetics Regenerative Center

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1669098406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6311 KINGSTON PIKE STE 3E",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194906",
            "telephone_number": "865-248-3138",
            "fax_number": "865-381-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6311 KINGSTON PIKE STE 3E",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194906",
            "telephone_number": "865-248-3138",
            "fax_number": "865-381-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL AESTHETICS & REGENERATIVE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL AESTHETICS & REGENERATIVE CENTER",
        "enumeration_date": "2020-06-17",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "BELLO",
        "authorized_official_first_name": "REY",
        "authorized_official_middle_name": "NANGKIL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "865-248-3138",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bello Medical Aesthetics; Knoxville Regenerative Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.