Active NPI
Nicholaos C. Bellos, M.D.,P.a.
- Pharmacist
- Dallas, TX
National Provider Identifier
1669619334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19388
- Legal business name
- NICHOLAOS C. BELLOS, M.D.,P.A.
- Practice address
- 2909 Lemmon Ave
Dallas, TX 75204-0305 - Phone
- (214) 828-4702
- Fax
- (214) 370-5130
- NPI assigned
- Jan 16, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert Kenneth Wagner
- Title
- Chief Financial Officer
- Phone
- (214) 828-4702
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 19388 | TX | Primary |
Addresses
Primary practice location
2909 Lemmon Ave
Dallas, TX 75204-0305
Mailing address
2909 Lemmon Ave
Dallas, TX 75204-0305
Phone (214) 828-4702
Other names 1
- AB Therapeutics
National Provider Directory
National Provider Directory- Tax ID family
- Ab Therapeutics
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialty Pharmacy
- Dallas, TX
- NPI 1376556530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232064000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1232064000000",
"number": "1669619334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2909 LEMMON AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752040305",
"telephone_number": "214-828-4702",
"fax_number": "214-370-5130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2909 LEMMON AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752040305",
"telephone_number": "214-828-4702",
"fax_number": "214-370-5130"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NICHOLAOS C. BELLOS, M.D.,P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-16",
"last_updated": "2009-01-16",
"status": "A",
"authorized_official_last_name": "WAGNER",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "KENNETH",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "214-828-4702",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "TX",
"license": "19388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "AB Therapeutics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.