Bell Dmso LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BELL DMSO LLC

Practice address

15033 W Bell Rd Ste 175
Surprise, AZ 85374-3263

Phone

(623) 688-7777

NPI assigned

Jan 27, 2022

Organization subpart

No

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

Authorized official

Name

Severn Bizzaro

Title

Manager

Phone

(520) 220-5266

Specialties & licenses 1

Addresses

Other names 1

• Wellness Dental Surprise Doing business as

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643241600000",
    "number": "1700539004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15033 W BELL RD STE 175",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743263",
            "telephone_number": "623-688-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15033 W BELL RD STE 175",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743263",
            "telephone_number": "623-688-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELL DMSO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "BIZZARO",
        "authorized_official_first_name": "SEVERN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "520-220-5266"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness Dental Surprise",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeannette Aris Beckford, LMHC, LPC
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• Krysten L Begley, MSN, FNP-C
• Behavior Self LLC
• Galina Marie Belisle
• Bell Facility LLC
• Anna L Bell, MSN, BSN, RN, FNP-C
• Erielle Bell
• Jasmine Bell
• Nash Bell, DPT

• All providers in Surprise, AZ
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.