David Israel Beller, DDS
Individual provider Active NPI Dentist · Springhouse, PA
NPI 1669656138 · NPPES record last updated Dec 20, 2007
Key facts
- NPI
- 1669656138
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DS026288L (PA)
- Practice address
- 809 N Bethlehem Pike
Springhouse, PA 19477 - Phone
- (215) 641-9020
- Fax
- (215) 540-9021
- NPI assigned
- Dec 20, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160608000739 | PA | Order and Referring Only - Dentist |
2769772490 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David I. Beller DDS LLC | Dentist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS026288L | PA | Yes |
Addresses
Primary practice location
809 N Bethlehem Pike
Springhouse, PA 19477
Mailing address
PO Box 29
Spring House, PA 19477-0029
Phone (215) 641-9020
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DS026288L | Other | PA | DENTAL LICENSE |
Other providers in Springhouse, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.