William Jay Bellamy, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D9789 Issued in MN

Practice address

1324 E 1St St
Duluth, MN 55805-2403

Phone

(218) 724-1332

Fax

(218) 724-2184

NPI assigned

Jan 18, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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 MN

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

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.

• William J & Kathleen E Bellamy PTR

  dba Chester Creek Dental

  • General Practice Dentistry
  • Duluth, MN
  • NPI 1154473189
  NPD (past) Authorized official
• Chester Creek Dental LLC

  dba Chester Creek Dental

  • General Practice Dentistry
  • Duluth, MN
  • NPI 1447117932
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720130735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 E 1ST ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558052403",
            "telephone_number": "218-724-1332",
            "fax_number": "218-724-2184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 E 1ST ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558052403",
            "telephone_number": "218-724-1332",
            "fax_number": "218-724-2184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLAMY",
        "first_name": "WILLIAM",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D9789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Lynn Belden, OTR/L
• Meaghan Marie Bell, CCC/SLP
• Daniel Bellamy
• Emily Bellamy
• Kathleen Elizabeth Bellamy, D.D.S.
• Gerald J Bellehumeur, APRN, CRNA
• Courtney Bellmore
• Belongings, LLC
• Bridget Mary Bemis, RN
• Ricci Lee Bender, MD

• General Practice Dentistry in Duluth, MN
• Providers in Duluth, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.