Active NPI
Jonathan Belfore
- Dentist
- Albemarle, NC
National Provider Identifier
1730748351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 11424
- Practice address
- 701 N 2ND St
Albemarle, NC 28001-3313 - Phone
- (704) 610-7129
- NPI assigned
- Jun 7, 2019
- Last updated
- Jul 6, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 11424 | NC | Primary |
Addresses
Primary practice location
701 N 2ND St
Albemarle, NC 28001-3313
Mailing address
701 N 2ND St
Albemarle, NC 28001-3313
Phone (704) 982-6312
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11424 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688601600000",
"number": "1730748351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 N 2ND ST",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "280013313",
"telephone_number": "704-982-6312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 N 2ND ST",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "280013313",
"telephone_number": "704-610-7129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELFORE",
"first_name": "JONATHAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-07",
"last_updated": "2023-07-06",
"certification_date": "2023-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "11424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albemarle, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.