Individual provider Active NPI

Celeste Sigua Balino, D.D.S.

  • Dentist
  • Alexandria, VA
National Provider Identifier
1033430467
Registry record updated Jun 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401412834 Issued in VA
Practice address
5695 King Centre Dr
Suite B100
Alexandria, VA 22315-5744
Phone
(703) 719-9824
NPI assigned
Jun 21, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401412834 VA Primary

Addresses

Primary practice location

5695 King Centre Dr
Suite B100
Alexandria, VA 22315-5744

Mailing address

5695 King Centre Dr
Suite B100
Alexandria, VA 22315-5744
Phone (703) 719-9824

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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 28, 2013 through Oct 28, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0401412834VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
C Benson Clark, DDS, PC Past Accepting new patients
Dr Daniel M Etheridge DDS LTD Dentist Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277078400000",
    "number": "1033430467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5695 KING CENTRE DR",
            "address_2": "SUITE B100",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223155744",
            "telephone_number": "703-719-9824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5695 KING CENTRE DR",
            "address_2": "SUITE B100",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223155744",
            "telephone_number": "703-719-9824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALINO",
        "first_name": "CELESTE",
        "middle_name": "SIGUA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-21",
        "last_updated": "2010-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401412834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.