Elysia P. Belva D.D.S., P.L.L.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

9069 Issued in TN

Legal business name

ELYSIA P. BELVA D.D.S., P.L.L.C.

Practice address

1724 Hamill Rd
Suite 114
Hixson, TN 37343-5152

Phone

(423) 580-2407

NPI assigned

Oct 17, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Elysia Parham Belva, D.D.S.

Title

Dentist/Owner

Phone

(423) 580-2407

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1730630625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 HAMILL RD",
            "address_2": "SUITE 114",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373435152",
            "telephone_number": "423-580-2407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 HAMILL RD",
            "address_2": "SUITE 114",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373435152",
            "telephone_number": "423-580-2407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELYSIA P. BELVA D.D.S., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "BELVA",
        "authorized_official_first_name": "ELYSIA",
        "authorized_official_middle_name": "PARHAM",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "423-580-2407",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TN",
            "license": "9069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1275869034",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Hixson, TN
• Providers in Hixson, TN by specialty
• Dental Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.