Beltline Smile Center, PC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

22981 Issued in TX

Legal business name

BELTLINE SMILE CENTER, PC

Practice address

1614 E Belt Line Rd
Carrollton, TX 75006-6309

Phone

(469) 688-4772

NPI assigned

May 22, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Mayada Altamimi, DMD

Title

President/ Dentist

Phone

(469) 688-4772

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1942646575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614 E BELT LINE RD",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750066309",
            "telephone_number": "469-688-4772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 E BELT LINE RD",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750066309",
            "telephone_number": "469-688-4772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELTLINE SMILE CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-22",
        "last_updated": "2013-05-22",
        "status": "A",
        "authorized_official_last_name": "ALTAMIMI",
        "authorized_official_first_name": "MAYADA",
        "authorized_official_title_or_position": "PRESIDENT/ DENTIST",
        "authorized_official_telephone_number": "469-688-4772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "TX",
            "license": "22981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189148305",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Being Home Health Care LLC
• Stephanie Renee Bell, M. ED., BCBA
• Maris K Bellows, OTR/L
• Beltline Family Dental, P.a.
• Beltline Smile Center PA
• Mary Katherine Belz, OTR/L
• Melissa Benavides, PA
• Phillip Michael Benavides
• Orvial Lee Bennett Jr., PA
• Melody Eisenbach Benson, M.A., CCC/SLP

• Preferred Provider Organization in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Preferred Provider Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; 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.