NPIMap

Organization Active NPI

Berrien Dental PLC

  • Dentist
  • Berrien Springs, MI
National Provider Identifier
1003425513
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
BERRIEN DENTAL PLC
Practice address
8383 M 139
Berrien Springs, MI 49103-9001
Phone
(269) 471-4055
Fax
(269) 471-3829
NPI assigned
Jul 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Authorized official

Name
Dr. Eric Michael Balsis, DDSNPI 1679709422
Title
Owner
Phone
(269) 471-4055

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

8383 M 139
Berrien Springs, MI 49103-9001

Mailing address

8383 M 139
Berrien Springs, MI 49103-9001
Phone (269) 471-4055

Other names 1

  • Berrien Dental Doing business as

National Provider Directory

National Provider Directory

Locations

8383 M 139
Berrien Springs, MI 49103
Phone (269) 471-4055

Practitioners & affiliated clinicians

Practitioners 3

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": "1596067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596067200000",
    "number": "1003425513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8383 M 139",
            "city": "BERRIEN SPRINGS",
            "state": "MI",
            "postal_code": "491039001",
            "telephone_number": "269-471-4055",
            "fax_number": "269-471-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8383 M 139",
            "city": "BERRIEN SPRINGS",
            "state": "MI",
            "postal_code": "491039001",
            "telephone_number": "269-471-4055",
            "fax_number": "269-471-3829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERRIEN DENTAL PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-30",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A",
        "authorized_official_last_name": "BALSIS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-471-4055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Berrien Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Berrien Springs, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; 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.