Joseph Bellissimo Jr.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

31567 Issued in CA

Practice address

4867 Eagle Rock Blvd.
Suite #B
Los Angeles, CA 90041

Phone

(323) 255-0193

Fax

(323) 255-9711

NPI assigned

Apr 18, 2007

Last updated

Apr 15, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• PB Lee Dental Group, Inc.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Los Angeles, CA
  • NPI 1568058816
  NPD (past)

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208217600000",
    "number": "1861619413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4867 EAGLE ROCK BLVD.",
            "address_2": "SUITE #B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90041",
            "telephone_number": "323-255-0193",
            "fax_number": "323-255-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4867 EAGLE ROCK BLVD.",
            "address_2": "SUITE #B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90041",
            "telephone_number": "323-255-0193",
            "fax_number": "323-255-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLISSIMO",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2008-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "31567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "B31567-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Bellasis
• Arie Belldegrun, MD
• Sheldon Dwane Bellinger
• Brian Bellingham
• Jeffrey Bellissimo
• Akorede Bello
• Alfredo Bello Jr.
• Amanda Bello
• Christofer Bello
• Dino C Bello

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.