Active NPI
Balldinger & Miller
- Periodontics
- Washington, DC
National Provider Identifier
1104964402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DEN2387
- Legal business name
- BALLDINGER & MILLER
- Practice address
- 1747 Pennsylvania Ave NW
G-100
Washington, DC 20006-4604 - Phone
- (202) 298-6111
- Fax
- (202) 526-9456
- NPI assigned
- Feb 1, 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
- Garry Merrill Miller, DMD
- Title
- President
- Phone
- (202) 298-6111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DEN2387 | DC | Primary |
Addresses
Primary practice location
1747 Pennsylvania Ave NW
G-100
Washington, DC 20006-4604
Mailing address
1747 Pennsylvania Ave NW
G-100
Washington, DC 20006-4604
Phone (202) 298-6111
National Provider Directory
National Provider DirectoryLocations
1747 Pennsylvania Ave NW
#G100
Washington, DC 20006
Phone (202) 298-6111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1104964402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1747 PENNSYLVANIA AVE NW",
"address_2": "G-100",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200064604",
"telephone_number": "202-298-6111",
"fax_number": "202-526-9456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1747 PENNSYLVANIA AVE NW",
"address_2": "G-100",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200064604",
"telephone_number": "202-298-6111",
"fax_number": "202-526-9456"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BALLDINGER & MILLER",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "GARRY",
"authorized_official_middle_name": "MERRILL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "202-298-6111",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": "DC",
"license": "DEN2387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.