Individual provider Active NPI

Christopher N Ballinger, DMD

  • General Practice Dentistry
  • Winston Salem, NC
National Provider Identifier
1003845538
Registry record updated Aug 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7403 Issued in NC
Practice address
705 Coliseum Dr
Winston-Salem, NC 27106-5312
Phone
(336) 721-7921
Fax
(336) 721-7926
NPI assigned
Jun 30, 2006
Last updated
Aug 13, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7403 NC Primary

Addresses

Primary practice location

705 Coliseum Dr
Winston-Salem, NC 27106-5312

Mailing address

705 Coliseum Dr
Winston-Salem, NC 27106-5312
Phone (336) 721-7921

Other identifiers 2

IdentifierTypeStateIssuer
017U2OtherNCBCBSNC
89902H1MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7403NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ballinger and Ballinger DMD PLLC General Practice Past Accepting new patients
Londry, Modlin, Tucker II DDS PLLC General Practice PastSince Nov 19, 2023 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439424000000",
    "number": "1003845538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 COLISEUM DR",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271065312",
            "telephone_number": "336-721-7921",
            "fax_number": "336-721-7926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 COLISEUM DR",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271065312",
            "telephone_number": "336-721-7921",
            "fax_number": "336-721-7926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLINGER",
        "first_name": "CHRISTOPHER",
        "middle_name": "N",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2015-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "017U2",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89902H1",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.