Active NPI
William M Ballance DDS
- Dentist
- Petersburg, VA
National Provider Identifier
1053507400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401004200VA
- Legal business name
- WILLIAM M BALLANCE DDS
- Practice address
- 1964 Wakefield Street
Petersburg, VA 23805 - Phone
- (804) 732-1278
- NPI assigned
- Sep 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William M Ballance, DDS
- Title
- Dentist Owner Sole Proprietor
- Phone
- (804) 732-1278
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401004200VA | VA | Primary |
Addresses
Primary practice location
1964 Wakefield Street
Petersburg, VA 23805
Mailing address
1964 Wakefield Street
Petersburg, VA 23805
Phone (804) 732-1278
National Provider Directory
National Provider DirectoryLocations
1964 Wakefield Ave
Petersburg, VA 23805
Phone (804) 732-1278
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Petersburg, VA
- NPI 1942312426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190160000000",
"number": "1053507400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1964 WAKEFIELD STREET",
"city": "PETERSBURG",
"state": "VA",
"postal_code": "23805",
"telephone_number": "804-732-1278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1964 WAKEFIELD STREET",
"city": "PETERSBURG",
"state": "VA",
"postal_code": "23805",
"telephone_number": "804-732-1278"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM M BALLANCE DDS",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-19",
"last_updated": "2007-09-19",
"status": "A",
"authorized_official_last_name": "BALLANCE",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "DENTIST OWNER SOLE PROPRIETOR",
"authorized_official_telephone_number": "804-732-1278",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "VA",
"license": "0401004200VA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Petersburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.