Individual provider Active NPI

Adam Benjamin Bellingham, DDS

  • Dentist
  • Plano, TX
National Provider Identifier
1750533832
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
23431 Issued in TX
Practice address
5949 Dallas Pkwy Ste 200
Plano, TX 75093-7816
Phone
(469) 609-7224
NPI assigned
Oct 21, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 23431 TX Primary

Addresses

Primary practice location

5949 Dallas Pkwy Ste 200
Plano, TX 75093-7816

Mailing address

2805 Butterfield Stage Rd
Highland Village, TX 75077-3181
Phone (214) 738-0356

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
23431TXMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Plano Windhaven Dentistry Dentist CurrentSince Sep 27, 2020 Accepting new patients
Mndsc PLLC CurrentSince Nov 19, 2023 Accepting new patients

Locations

5949 Dallas Pkwy
Ste 200
Plano, TX 75093
Phone (469) 609-7224

Organizations & group practices 2

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": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1750533832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 BUTTERFIELD STAGE RD",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "750773181",
            "telephone_number": "214-738-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5949 DALLAS PKWY STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937816",
            "telephone_number": "469-609-7224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLINGHAM",
        "first_name": "ADAM",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-21",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "23431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.