Christopher V Balda, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019029606 Issued in IL

Practice address

401 E Washington Ave
Effingham, IL 62401-3442

Phone

(217) 342-3411

NPI assigned

Aug 31, 2013

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brian a. Balda, D.M.D.,P.C.

  • General Practice Dentistry
  • Effingham, IL
  • NPI 1598811499
  NPD (past)

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

{
    "created_epoch": "1377907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377907200000",
    "number": "1003240540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11232 E LINCOLNSHIRE LN",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624014479",
            "telephone_number": "217-343-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E WASHINGTON AVE",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624013442",
            "telephone_number": "217-342-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDA",
        "first_name": "CHRISTOPHER",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-31",
        "last_updated": "2013-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019029606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Dee Baggett, D.C.
• Amanda Baker, PT, DPT
• Christina L Baker
• Balda Dental LLC
• Brian A Balda, D.M.D.
• Joseph D Balda, D.M.D.
• Ballard Family Chiropractic LTD
• Abbie J.F. Ballard, DC
• Sydney Barnes, MSW
• Sheri Barnett, APN

• General Practice Dentistry in Effingham, IL
• Providers in Effingham, IL by specialty
• General Practice Dentistry in Illinois

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