Rome Family Dental Service P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

030067 Issued in NY

Legal business name

ROME FAMILY DENTAL SERVICE P.C.

Practice address

215 North Washington St.
Rome, NY 13440

Phone

(315) 339-5830

Fax

(315) 337-8409

NPI assigned

Dec 19, 2006

Last updated

Oct 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Albino Nicholas Ballini, DDSNPI 1104989946

Title

President

Phone

(315) 339-5830

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Albino Ballini, DDS

  • General Practice Dentistry
  • Rome, NY
  • NPI 1104989946
  NPD (past) Authorized official

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224028800000",
    "number": "1114080041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 NORTH WASHINGTON ST.",
            "city": "ROME",
            "state": "NY",
            "postal_code": "13440",
            "telephone_number": "315-339-5830",
            "fax_number": "315-337-8409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 NORTH WASHINGTON ST.",
            "city": "ROME",
            "state": "NY",
            "postal_code": "13440",
            "telephone_number": "315-339-5830",
            "fax_number": "315-337-8409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROME FAMILY DENTAL SERVICE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2008-10-15",
        "status": "A",
        "authorized_official_last_name": "BALLINI",
        "authorized_official_first_name": "ALBINO",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-339-5830",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "044155",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "030067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01382856",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rome City School District
• Rome City School District
• Rome City School District
• Rome Emergency Services
• Rome Evaluation & Therapy
• Rome Hearing Clinic
• Rome Medical Group, P.C.
• Rome Medical Practice (Rome Surgical Specialists)
• Rome Medical Practice (All About Women)
• Rome Medical Practice (Dr. Anwar Wassel MD)

• General Practice Dentistry in Rome, NY
• Providers in Rome, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; 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.