Balaze & Gregg Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BALAZE & GREGG DENTISTRY

Practice address

30131 Town Center Dr Ste 250
Laguna Niguel, CA 92677-2082

Phone

(949) 770-7686

NPI assigned

Dec 17, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Balaze, DMD

Title

Owner

Phone

(949) 770-7686

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1013555317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30131 TOWN CENTER DR STE 250",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772082",
            "telephone_number": "949-770-7686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30131 TOWN CENTER DR STE 250",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772082",
            "telephone_number": "949-770-7686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALAZE & GREGG DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-17",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "BALAZE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-770-7686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Back to Balance Physical Therapy and Wellness, PC
• Deeba Badie
• Jamie Marie Baez
• Maryam Bahadori, DDS
• Bahar Movahed, DDS, Inc.
• Lauren Balbas, MS, PA-C
• Sara Balbas
• Mary Phan Baldwin, PTA
• Dennis Kent Barker, D.D.S.
• Brooke Kailee Barnard, OTD, OTR/L

• Dental Clinic/Center in Laguna Niguel, CA
• Providers in Laguna Niguel, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.