Active NPI
Ian Bell, DDS
- Pediatric Dentistry
- Salem, OR
National Provider Identifier
1740670009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- D10952
- Practice address
- 140 Ramsgate SQ S Ste 120
Salem, OR 97302-5873 - Phone
- (503) 363-1661
- NPI assigned
- Jan 26, 2015
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | D10952 | OR | Primary |
Addresses
Primary practice location
140 Ramsgate SQ S Ste 120
Salem, OR 97302-5873
Mailing address
24032 Bothell Everett Highway, Ste. #100
Bothell, WA 98021-9364
Phone (425) 318-1283
Other practice location 1
13908 SE Stark St
Portland, OR 97233-2161
Phone (971) 470-0054
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500765455 | Medicaid | OR |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D10952 | OR | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565308800000",
"number": "1740670009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24032 BOTHELL EVERETT HIGHWAY, STE. #100",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980219364",
"telephone_number": "425-318-1283",
"fax_number": "425-398-0516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 RAMSGATE SQ S STE 120",
"city": "SALEM",
"state": "OR",
"postal_code": "973025873",
"telephone_number": "503-363-1661"
}
],
"practiceLocations": [
{
"address_1": "13908 SE Stark St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972332161",
"country_code": "US",
"telephone_number": "971-470-0054",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BELL",
"first_name": "IAN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-26",
"last_updated": "2019-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "OR",
"license": "D10952",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500765455",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.