Active NPI
Sarah Balal, BCHD
- Pediatric Dentistry
- Richmond, VA
National Provider Identifier
1104559533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 0442000443
- Practice address
- 1000 E Broad St
Richmond, VA 23219-1930 - Phone
- (804) 828-2467
- NPI assigned
- Jul 4, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 0442000443 | VA | Primary |
Addresses
Primary practice location
1000 E Broad St
Richmond, VA 23219-1930
Mailing address
6739 S Grand Brook Cir
Richmond, VA 23225-4163
Phone (804) 549-3209
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0442000443 | VA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656892800000",
"number": "1104559533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6739 S GRAND BROOK CIR",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232254163",
"telephone_number": "804-549-3209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E BROAD ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232191930",
"telephone_number": "804-828-2467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALAL",
"first_name": "SARAH",
"name_prefix": "Ms.",
"credential": "BCHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-04",
"last_updated": "2022-07-04",
"certification_date": "2022-07-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "VA",
"license": "0442000443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 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.