NPIMap

Organization Active NPI

Bellamy Dental Care

  • Dentist
  • Bowie, MD
National Provider Identifier
1710245709
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
13362 Issued in MD
Legal business name
BELLAMY DENTAL CARE
Practice address
12164 Central Ave
Suite 213
Bowie, MD 20721-1944
Phone
(301) 383-1418
Fax
(301) 383-1424
NPI assigned
Apr 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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

Authorized official

Name
Dr. Deitra Bellamy
Title
Ceo
Phone
(301) 383-1418

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 13362 MD Primary

Addresses

Primary practice location

12164 Central Ave
Suite 213
Bowie, MD 20721-1944

Mailing address

12164 Central Ave
Suite 213
Bowie, MD 20721-1944

National Provider Directory

National Provider Directory

Locations

12164 Central Ave
Ste 213
Mitchellville, MD 20721
Phone (301) 383-1418

NPI Registry JSON

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1710245709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12164 CENTRAL AVE",
            "address_2": "SUITE 213",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207211944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12164 CENTRAL AVE",
            "address_2": "SUITE 213",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207211944",
            "telephone_number": "301-383-1418",
            "fax_number": "301-383-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLAMY DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-26",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "BELLAMY",
        "authorized_official_first_name": "DEITRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-383-1418",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "13362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; 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.