NPIMap

Organization Active NPI

Belllo-Burgos, D.M.D. , P.a.

  • Dentist
  • Doral, FL
National Provider Identifier
1902935570
Registry record updated Apr 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN15625 Issued in FL
Legal business name
BELLLO-BURGOS, D.M.D. , P.A.
Practice address
9757 NW 41St St
Doral, FL 33178-2381
Phone
(305) 477-5299
Fax
(305) 477-5219
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2009

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

Authorized official

Name
Dr. Teresa J. Bello-Burgos, D.M.D., D.D.S.NPI 1780725523
Title
President
Phone
(305) 477-5299

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN15625 FL Primary

Addresses

Primary practice location

9757 NW 41St St
Doral, FL 33178-2381

Mailing address

12095 NW 5TH St
Doral, FL 33182-1343
Phone (395) 477-5299

Other identifiers 1

IdentifierTypeStateIssuer
56761MedicaidFL

Other names 1

  • DORAL PARK DENTAL CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

9757 NW 41st St
Doral, FL 33178
Phone (305) 477-5299

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239753600000",
    "number": "1902935570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12095 NW 5TH ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331821343",
            "telephone_number": "395-477-5299",
            "fax_number": "305-477-5219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9757 NW 41ST ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782381",
            "telephone_number": "305-477-5299",
            "fax_number": "305-477-5219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLLO-BURGOS, D.M.D. , P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2009-04-15",
        "status": "A",
        "authorized_official_last_name": "BELLO-BURGOS",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-477-5299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D., D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN15625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56761",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DORAL PARK DENTAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2009; 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.