Organization Active NPI

Nicholaos C. Bellos, M.D.,P.a.

  • Pharmacist
  • Dallas, TX
National Provider Identifier
1669619334
Registry record updated Jan 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
19388 Issued in TX
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

Updated by the provider on Jan 16, 2009

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)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ab Therapeutics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.