Harley Scott Bellack, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11561 Issued in FL

Practice address

2700 E Bay Dr
Largo, FL 33771-2468

Phone

(727) 536-3400

Fax

(727) 532-3016

NPI assigned

Jun 26, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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 FL

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

Networks

• Freedom Health HMO Network

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.

• Mid County Dental Associates

  • General Practice Dentistry
  • Largo, FL
  • NPI 1124242284
  NPD (past)
• TDN Dentistry, PLLC

  dba Mid County Dental Associates

  • General Practice Dentistry
  • Largo, FL
  • NPI 1861356735
  NPD (past)

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972709939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 E BAY DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337712468",
            "telephone_number": "727-536-3400",
            "fax_number": "727-532-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E BAY DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337712468",
            "telephone_number": "727-536-3400",
            "fax_number": "727-532-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLACK",
        "first_name": "HARLEY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "11561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Beljic, D.O.
• Karen Leann Bell
• Lara Bell
• Terry Wayne Bell, MD
• Tiffany P Bell, DNP, PMHNP
• Belle Oak Bracing, Inc
• Belle Vista Bluffs, Inc.
• Belleair Wellness Center & Spa
• Sabita Bellur
• Reece Belmont

• General Practice Dentistry in Largo, FL
• Providers in Largo, FL by specialty
• General Practice Dentistry in Florida

• 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.