Blake Belland, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D13981 Issued in MN

Practice address

4667 Dakota St SE
Prior Lake, MN 55372-1714

Phone

(612) 889-1334

NPI assigned

Jun 4, 2018

Last updated

Aug 18, 2023By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Belland Family Dentistry PLLC

  • Dental Clinic/Center
  • Prior Lake, MN
  • NPI 1457010894
  NPD Authorized official
• Scott D Carlson

  • Dental Clinic/Center
  • Prior Lake, MN
  • NPI 1700495140
  NPD

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1811489909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4667 DAKOTA ST SE",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553721714",
            "telephone_number": "952-447-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4667 DAKOTA ST SE",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553721714",
            "telephone_number": "612-889-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLAND",
        "first_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-04",
        "last_updated": "2023-08-18",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D13981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mya Marie Badillo
• Barnett Health and Wellness Center, P.a
• Basile Orthodontics PA (Prior Lake Orthodontics)
• Behavioral Wellness Counseling Clinic, LLC (Behavioral Wellness)
• Belland Family Dentistry PLLC
• Robert L Benton
• Brianna Berg
• Andrea J Berger, DPT
• Sara Rae Betterly Wallen
• Bliss Family Dental Julie Konop, DDS, PLLC

• General Practice Dentistry in Prior Lake, MN
• Providers in Prior Lake, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; 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.