Bellaire Dental Suite PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

BELLAIRE DENTAL SUITE PLLC

Doing business as

Bellaire Dental Suite

Practice address

6300 West Loop S Ste 250
Bellaire, TX 77401-2918

Phone

(346) 618-5441

Fax

(346) 204-4160

NPI assigned

Oct 12, 2023

Last updated

Oct 12, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristina Rivers, DDSNPI 1740411016

Title

Owner

Phone

(817) 925-0458

Specialties & licenses 2

Addresses

Other names 1

• Bellaire Dental Suite Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristina Rivers, DDS

  • General Practice Dentistry
  • Bryan, TX
  • NPI 1740411016
  NPD Authorized official

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1992586234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E VILLA MARIA RD STE A",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778013147",
            "telephone_number": "979-779-6146",
            "fax_number": "979-779-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 WEST LOOP S STE 250",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774012918",
            "telephone_number": "346-618-5441",
            "fax_number": "346-204-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLAIRE DENTAL SUITE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "RIVERS",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-925-0458",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellaire Dental Suite",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Juan Carlos Belalcazar Canal, MD
• Briana Edvige Bell, DPM
• Nicholas P. Bell, M. D.
• Raana B Bell, MFT
• Bellaire Allergy & Asthma PLLC
• Bellaire Dermatology Associates, P.a.
• Bellaire Ellie Clinic PC (Ellie Mental Health)
• Bellaire Family Eye Care PA
• Bellaire Family Eye Care, P.a. (The Vision Learning Center)
• Bellaire Medical Care Group, LLP

• Dentist in Bellaire, TX
• Providers in Bellaire, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.