Dillon Matthew Bale, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN23368 Issued in FL

Practice address

7801 Dr Martin Luther King St N
Saint Petersburg, FL 33702-1108

Phone

(727) 525-4499

NPI assigned

Jun 1, 2018

Sex

Male

Sole proprietor

Yes

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 FL

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

State licenses

Practice roles

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.

• Coast Florida P.a.

  • Dentist
  • Tampa, FL
  • NPI 1730287673

  Multi-Specialty

  NPD (past)
• Coast Florida P.a.

  • Dentist
  • St Petersburg, FL
  • NPI 1821664202

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527811200000",
    "number": "1053803494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 DR MARTIN LUTHER KING ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337021108",
            "telephone_number": "727-525-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 DR MARTIN LUTHER KING ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337021108",
            "telephone_number": "727-525-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALE",
        "first_name": "DILLON",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-01",
        "last_updated": "2018-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN23368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alexandra Jozefa Balcom, APRN
• Anthony Baldizzi, M. D.
• David Brian Baldwin
• Abigail J Ball, MAT, LAT, ATC
• David Robert Ball, DO, MPH
• Lisa Davis Ball, D.O.
• Shirley Aew Ball, APRN
• Ballan Wrasse Emergency Physicians LLC

• General Practice Dentistry in Saint Petersburg, FL
• Providers in Saint Petersburg, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2018; 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.