Individual provider Active NPI

Ian Bell, DDS

  • Pediatric Dentistry
  • Salem, OR
National Provider Identifier
1740670009
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
D10952 Issued in OR
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

Updated by the provider on Aug 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
500765455MedicaidOR

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

LicenseStateTypeSpecialty
D10952ORMDPediatric 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.

Verify at the official NPI Registry.