Organization Active NPI

Bales and King Orthodontic Partnership

Doing business as Bales Orthodontics

  • Dental Clinic/Center
  • Novato, CA
National Provider Identifier
1013721216
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BALES AND KING ORTHODONTIC PARTNERSHIP
Doing business as
Bales Orthodontics
Practice address
1713 Novato Blvd
Novato, CA 94947-3014
Phone
(415) 897-3141
NPI assigned
Feb 6, 2025
Last updated
Feb 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Authorized official

Name
Dr. Kathleen Bales, DDS, MSNPI 1760621593
Title
Owner/Orthodontist
Phone
(415) 897-3141

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
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

1713 Novato Blvd
Novato, CA 94947-3014

Mailing address

1713 Novato Blvd
Novato, CA 94947-3014
Phone (415) 897-3141

Other practice location 1

4737 Sonoma Hwy Ste A
Santa Rosa, CA 95409-4267
Phone (707) 537-1023

Other identifiers 4

IdentifierTypeStateIssuer
1487153680OtherCANPI TYPE 1 INDIVIDUAL
1770688517OtherCANPI TYPE 2
1760621593OtherCANPI TYPE 1 INDIVIDUAL
942443492OtherCAPREVIOUS TYPE 2 NPI

Other names 2

  • Bales Orthodontics Doing business as
  • Thomas R Bales, DDS, Inc Former legal business name

National Provider Directory

National Provider Directory

Locations

4737 Sonoma Hwy
Ste A
Santa Rosa, CA 95409
Phone (707) 537-1023

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1738800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1013721216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 NOVATO BLVD",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949473014",
            "telephone_number": "415-897-3141",
            "fax_number": "415-898-3445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 NOVATO BLVD",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949473014",
            "telephone_number": "415-897-3141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4737 Sonoma Hwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954094267",
            "country_code": "US",
            "telephone_number": "707-537-1023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BALES AND KING ORTHODONTIC PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-06",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "BALES",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER/ORTHODONTIST",
        "authorized_official_telephone_number": "415-897-3141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1 INDIVIDUAL",
            "identifier": "1487153680",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 2",
            "identifier": "1770688517",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1 INDIVIDUAL",
            "identifier": "1760621593",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREVIOUS TYPE 2 NPI",
            "identifier": "942443492",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bales Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Thomas R Bales, DDS, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Novato, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.