Organization Active NPI

Ballrick Orthodontics, Inc.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Westlake, OH
National Provider Identifier
1073523379
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
30.022156 Issued in OH
Legal business name
BALLRICK ORTHODONTICS, INC.
Practice address
28885 Center Ridge Rd Ste 203
Westlake, OH 44145-5275
Phone
(440) 835-6113
Fax
(440) 331-8146
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Authorized official

Name
John Walter BallrickNPI 1629259205
Title
President
Phone
(440) 331-5450

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)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 30.022156 OH Primary

Addresses

Primary practice location

28885 Center Ridge Rd Ste 203
Westlake, OH 44145-5275

Mailing address

28885 Center Ridge Rd Ste 203
Westlake, OH 44145-5275
Phone (440) 835-6113

National Provider Directory

National Provider Directory

Locations

28885 Center Ridge Rd
Ste 203
Westlake, OH 44145
Phone (440) 835-6113

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1073523379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28885 CENTER RIDGE RD STE 203",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455275",
            "telephone_number": "440-835-6113",
            "fax_number": "440-331-8146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28885 CENTER RIDGE RD STE 203",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455275",
            "telephone_number": "440-835-6113",
            "fax_number": "440-331-8146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALLRICK ORTHODONTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "BALLRICK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-331-5450"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OH",
            "license": "30.022156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.