NPIMap

Organization Active NPI

Belgium Family Dental

  • Preferred Provider Organization
  • Belgium, WI
National Provider Identifier
1891174967
Registry record updated May 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
1001078-15 Issued in WI
Legal business name
BELGIUM FAMILY DENTAL
Practice address
171 Main St
Belgium, WI 53004-9715
Phone
(262) 285-3408
Fax
(262) 285-4025
NPI assigned
May 22, 2015
Last updated
May 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2015

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

Authorized official

Name
Dr. Vali Kiaie, D.D.S.NPI 1083826895
Title
Doctor/Owner
Phone
(262) 285-3408

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 1001078-15 WI Primary

Addresses

Primary practice location

171 Main St
Belgium, WI 53004-9715

Mailing address

171 Main St
Belgium, WI 53004-9715
Phone (262) 285-3408

Other names 1

  • East Towne Dental Associates Other name

National Provider Directory

National Provider Directory
Tax ID family
East Towne Dental Associates Belgium Family Dental SC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

171 Main St
Belgium, WI 53004
Phone (262) 285-3408

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432252800000",
    "number": "1891174967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 MAIN ST",
            "city": "BELGIUM",
            "state": "WI",
            "postal_code": "530049715",
            "telephone_number": "262-285-3408",
            "fax_number": "262-285-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 MAIN ST",
            "city": "BELGIUM",
            "state": "WI",
            "postal_code": "530049715",
            "telephone_number": "262-285-3408",
            "fax_number": "262-285-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELGIUM FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-22",
        "last_updated": "2015-05-22",
        "status": "A",
        "authorized_official_last_name": "KIAIE",
        "authorized_official_first_name": "VALI",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "262-285-3408",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "WI",
            "license": "1001078-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Towne Dental Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Belgium, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; 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.