Charles Daniel Bellott, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS3602 Issued in TN

Practice address

2059 S Houston Levee Rd
126
Germantown, TN 38139-6970

Phone

(901) 853-9800

Fax

(901) 853-9488

NPI assigned

Mar 26, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Bellott & Parrish Dentistry

  dba Audubon Dental Group

  • General Practice Dentistry
  • Germantown, TN
  • NPI 1124398805
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750408399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 GWYNNE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381173300",
            "telephone_number": "901-761-0473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2059 S HOUSTON LEVEE RD",
            "address_2": "126",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381396970",
            "telephone_number": "901-853-9800",
            "fax_number": "901-853-9488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLOTT",
        "first_name": "CHARLES",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS3602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell Scott Beebe, PH.D.
• Ernest Schorr Behnke, M.D.
• Emily Jane Bell, M.S., CCC-SUP
• Bellano Dental Wolf River, PLLC (Bellano Dental Germantown)
• Bellott & Parrish Dentistry (Audubon Dental Group)
• Karima Benameur, MD
• Christopher Michael Bennett, NURSE PRACTITIONER
• Barbara Bentley, CRNA
• Melanie Benton, RN
• Jennifer Haaga Berger, M.D.

• General Practice Dentistry in Germantown, TN
• Providers in Germantown, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.