Bella Dental West Texas, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

19211 Issued in TX

Legal business name

BELLA DENTAL WEST TEXAS, PLLC

Practice address

102 N 7TH St
Alpine, TX 79830-4606

Phone

(432) 837-4321

Fax

(432) 837-4322

NPI assigned

Jan 8, 2016

Last updated

Jan 8, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elizabeth Nava, DDS

Title

Dentist

Phone

(432) 837-4321

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1452211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452211200000",
    "number": "1922464718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 N 7TH ST",
            "city": "ALPINE",
            "state": "TX",
            "postal_code": "798304606",
            "telephone_number": "432-837-4321",
            "fax_number": "432-837-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N 7TH ST",
            "city": "ALPINE",
            "state": "TX",
            "postal_code": "798304606",
            "telephone_number": "432-837-4321",
            "fax_number": "432-837-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA DENTAL WEST TEXAS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-08",
        "last_updated": "2016-01-08",
        "status": "A",
        "authorized_official_last_name": "NAVA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "432-837-4321",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "19211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "090782612",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Richard G Ancell, LPC
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• Perla Venette Bermudez, O.D.
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• Dental Clinic/Center in Alpine, TX
• Providers in Alpine, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; 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.