Individual provider Active NPI

David Israel Beller, DDS

  • Dentist
  • Spring House, PA
National Provider Identifier
1669656138
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS026288L Issued in PA
Practice address
809 N Bethlehem Pike
Springhouse, PA 19477
Phone
(215) 641-9020
Fax
(215) 540-9021
NPI assigned
Dec 20, 2007
Last updated
Dec 20, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS026288L PA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160608000739 PA Order and Referring Only - DentistPractitioner - Dentist 2769772490

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS026288LPAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
David I. Beller DDS LLC Dentist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198108800000",
    "number": "1669656138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29",
            "city": "SPRING HOUSE",
            "state": "PA",
            "postal_code": "194770029",
            "telephone_number": "215-641-9020",
            "fax_number": "215-540-9021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 N BETHLEHEM PIKE",
            "city": "SPRINGHOUSE",
            "state": "PA",
            "postal_code": "19477",
            "telephone_number": "215-641-9020",
            "fax_number": "215-540-9021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLER",
        "first_name": "DAVID",
        "middle_name": "ISRAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-20",
        "last_updated": "2007-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS026288L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring House, PA

Sources for this page

Verify at the official NPI Registry.