Individual provider Active NPI

Bruce E Belsky, D.M.D.

  • Prosthodontics
  • La Jolla, CA
National Provider Identifier
1942409925
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
D40537 Issued in CA
Practice address
7855 Fay Ave
Suite 260
La Jolla, CA 92037-4265
Phone
(858) 551-2400
Fax
(858) 551-1072
NPI assigned
Jul 11, 2007
Last updated
Jul 11, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X D40537 CA Primary

Addresses

Primary practice location

7855 Fay Ave
Suite 260
La Jolla, CA 92037-4265

Mailing address

7855 Fay Ave
Suite 260
La Jolla, CA 92037-4265
Phone (858) 551-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D40537CAMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne S Lyn, DMD, Inc Prosthodontics Past Accepting new patients
Ayman Naser DDS Inc PastSince Apr 26, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1942409925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7855 FAY AVE",
            "address_2": "SUITE 260",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374265",
            "telephone_number": "858-551-2400",
            "fax_number": "858-551-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7855 FAY AVE",
            "address_2": "SUITE 260",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374265",
            "telephone_number": "858-551-2400",
            "fax_number": "858-551-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELSKY",
        "first_name": "BRUCE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "D40537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.