Mari Bellmont, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D12392 Issued in MN

Practice address

4640 Nicols Rd
100
Eagan, MN 55122-2306

Phone

(651) 454-1414

Fax

(651) 454-7987

NPI assigned

Jun 7, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Douglas M Bauer DDS,PA

  dba oak cliff dental care

  • Dentist
  • Eagan, MN
  • NPI 1619041969
  NPD (past)

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942403936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 NICOLS RD",
            "address_2": "100",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222306",
            "telephone_number": "651-454-1414",
            "fax_number": "651-454-7987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 NICOLS RD",
            "address_2": "100",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222306",
            "telephone_number": "651-454-1414",
            "fax_number": "651-454-7987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLMONT",
        "first_name": "MARI",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D12392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Behl, DO
• Keely Christine Behning, PT
• Christopher Evan Bejcek, MD
• Fraol Bekele
• Zachary Bella, PHD, LP
• Belmont Health Care Corporation
• Beltran Health Care LLC (Synergy HomeCare of Eagan)
• Sarah Mae Belz, CNM
• Abigail Frericks Bennett, PA-C
• Kaibeh Benson

• Dentist in Eagan, MN
• Providers in Eagan, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.