Angel Sebastian Bello Rivera, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

38815 Issued in TX

Practice address

10538 Potranco Rd Ste 206
San Antonio, TX 78251-3359

Phone

(210) 469-4235

NPI assigned

Feb 27, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Potranco Dentistry, PC

  • Dentist
  • San Antonio, TX
  • NPI 1922653518
  NPD

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

{
    "created_epoch": "1456531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1679933022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 BLUE STAR APT 2107",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782042194",
            "telephone_number": "787-415-9669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10538 POTRANCO RD STE 206",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782513359",
            "telephone_number": "210-469-4235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLO RIVERA",
        "first_name": "ANGEL",
        "middle_name": "SEBASTIAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-27",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "38815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Belle de Paris, LLC
• Delisa Belleny, PTA
• Jay Dela Cruz Belleza, LVN
• Bellinger Wellness Clinic
• Veronica Francine Bellinghiere, RBT
• Andreiana Bello, NURSE PRACTITIONER
• Rickell Bello
• Jack Frank Bellos, DDS
• Shreyas Subramanya Bellur
• Julia Nguyen Bellville, DO

• Periodontics in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Periodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.