Organization Active NPI

Bela Family Dentistry of Wagener

  • General Practice Dentistry
  • Wagener, SC
National Provider Identifier
1902317241
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BELA FAMILY DENTISTRY OF WAGENER
Practice address
112 Louie Street
Wagener, SC 29164
Phone
(803) 292-1927
NPI assigned
Oct 13, 2017
Last updated
Jun 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Authorized official

Name
Michelle Sweger
Title
Revenue Cycle Manager
Phone
(803) 292-1927

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

112 Louie Street
Wagener, SC 29164

Mailing address

2325 Washington Rd
Augusta, GA 30904-3105

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624406400000",
    "number": "1902317241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 WASHINGTON RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309043105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 LOUIE STREET",
            "city": "WAGENER",
            "state": "SC",
            "postal_code": "29164",
            "telephone_number": "803-292-1927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELA FAMILY DENTISTRY OF WAGENER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-13",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-09",
        "status": "A",
        "authorized_official_last_name": "SWEGER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "803-292-1927"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wagener, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.