Individual provider Active NPI

Belinda Phan, DMD

  • Dentist
  • Sneads Ferry, NC
National Provider Identifier
1730819087
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12806 Issued in NC
Practice address
1112 NC Highway 210
Sneads Ferry, NC 28460-9139
Phone
(910) 741-1555
NPI assigned
Jun 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12806 NC Primary

Addresses

Primary practice location

1112 NC Highway 210
Sneads Ferry, NC 28460-9139

Mailing address

322 Causeway Dr Ste 303
Wrightsville Beach, NC 28480-1984
Phone (408) 218-4450

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

LicenseStateTypeSpecialty
12806NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Steven W. Smith DDS PLLC CurrentSince Jun 12, 2022 Accepting new patients

Locations

1112 NC Highway 210
Sneads Ferry, NC 28460
Phone (910) 741-1555

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1730819087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 CAUSEWAY DR STE 303",
            "city": "WRIGHTSVILLE BEACH",
            "state": "NC",
            "postal_code": "284801984",
            "telephone_number": "408-218-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 NC HIGHWAY 210",
            "city": "SNEADS FERRY",
            "state": "NC",
            "postal_code": "284609139",
            "telephone_number": "910-741-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "BELINDA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "12806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sneads Ferry, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.