Organization Active NPI

Ballou Orthodontics, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Frisco, TX
National Provider Identifier
1023457785
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
25102 Issued in TX
Legal business name
BALLOU ORTHODONTICS, PLLC
Practice address
4500 Hillcrest Rd
Ste 120
Frisco, TX 75035-5418
Phone
(469) 888-4453
NPI assigned
Jun 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2013

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

Authorized official

Name
James I Ballou
Title
Manager
Phone
(469) 888-4453

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 25102 TX Primary

Addresses

Primary practice location

4500 Hillcrest Rd
Ste 120
Frisco, TX 75035-5418

Mailing address

4500 Hillcrest Rd
Ste 120
Frisco, TX 75035-5418

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371427200000",
    "number": "1023457785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 HILLCREST RD",
            "address_2": "STE 120",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750355418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 HILLCREST RD",
            "address_2": "STE 120",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750355418",
            "telephone_number": "469-888-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALLOU ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-17",
        "last_updated": "2013-06-17",
        "status": "A",
        "authorized_official_last_name": "BALLOU",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "469-888-4453"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "25102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; 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.