Edward Balle, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6086 Issued in NV

Practice address

3041 E Flamingo Rd
Suite C & D
Las Vegas, NV 89121-7446

Phone

(702) 309-9001

NPI assigned

Feb 11, 2011

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

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1297382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471305600000",
    "number": "1023315975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3041 E FLAMINGO RD",
            "address_2": "SUITE C & D",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891217446",
            "telephone_number": "702-309-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3041 E FLAMINGO RD",
            "address_2": "SUITE C & D",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891217446",
            "telephone_number": "702-309-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLE",
        "first_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-11",
        "last_updated": "2016-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "6086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Zoe Ballard, OTR/L
• Roberta Ballard
• Steven Roy Ballard, MD
• Tracey Ballard
• Lauren Ballardini, LMSW
• Peter S Balle, DDS
• Sebastian Balle, M.D.
• Jeroen Pieter Balledux, MD
• Eric Robert Ballein, LPC
• Countess Eleja Ballentine

• All providers in Las Vegas, NV
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.