NPIMap

Organization Active NPI

J Kevin Belville, MD PC

  • Ophthalmology Physician
  • Hastings, NE
National Provider Identifier
1972796845
Registry record updated Oct 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
14789 Issued in NE
Legal business name
J KEVIN BELVILLE, MD PC
Practice address
1414 W 12TH St
Hastings, NE 68901-3742
Phone
(402) 462-9191
Fax
(402) 462-9192
NPI assigned
Aug 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2008

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

Authorized official

Name
Dr. J. Kevin Belville, M.D
Title
Opthalmologist/President
Phone
(402) 462-9191

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X 138365 NE
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X 14789 NE Primary

Addresses

Primary practice location

1414 W 12TH St
Hastings, NE 68901-3742

Mailing address

1414 W 12TH St
Hastings, NE 68901-3742
Phone (402) 462-9191

Other identifiers 2

IdentifierTypeStateIssuer
10025428000MedicaidNE
200410430AMedicaidKS

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225411200000",
    "number": "1972796845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 W 12TH ST",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689013742",
            "telephone_number": "402-462-9191",
            "fax_number": "402-462-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 W 12TH ST",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689013742",
            "telephone_number": "402-462-9191",
            "fax_number": "402-462-9192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J KEVIN BELVILLE, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2008-10-31",
        "status": "A",
        "authorized_official_last_name": "BELVILLE",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "OPTHALMOLOGIST/PRESIDENT",
        "authorized_official_telephone_number": "402-462-9191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NE",
            "license": "138365",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "NE",
            "license": "14789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025428000",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200410430A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; 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.