Bella Smiles Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DH1036 Issued in NM

Legal business name

BELLA SMILES INC

Practice address

9204 Menaul Blvd NE
Suite 3
Albuquerque, NM 87112-2256

Phone

(505) 299-6112

Fax

(505) 299-7718

NPI assigned

Mar 4, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Loretta R Fudzinski, R.D.H.

Title

Chief Executive Officer

Phone

(505) 299-6112

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Ray Jimenez, D.D.S.

  • Prosthodontics
  • Albuquerque, NM
  • NPI 1336250521
  NPD (past)
• Nagashree Balur Prakash, DDS

  • General Practice Dentistry
  • Albuquerque, NM
  • NPI 1811159247

  General Practice

  NPD (past)

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

{
    "created_epoch": "1172966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720117062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9204 MENAUL BLVD NE",
            "address_2": "SUITE 3",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871122256",
            "telephone_number": "505-299-6112",
            "fax_number": "505-299-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9204 MENAUL BLVD NE",
            "address_2": "SUITE 3",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871122256",
            "telephone_number": "505-299-6112",
            "fax_number": "505-299-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA SMILES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FUDZINSKI",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "505-299-6112",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.D.H."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DH1036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Edward Bell, P.A.-C
• Karina Bell, MA, LMHC
• Kenneth A Bell, DO
• Lindsey Bell, LMHC
• Mandie L Bell
• Krantikumari Bellam
• Amo J Bellamy
• Diana Bellamy
• Kaylie Renee Beller
• Laura Marie Bellew, MSN, FNP

• All providers in Albuquerque, NM
• General Practice Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.