Individual provider Active NPI

James Fletcher Ballard, D.M.D.

  • Endodontics
  • Vestavia Hills, AL
National Provider Identifier
1144300658
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
3822 Issued in AL
Practice address
1771 Independence CT
Suite 4
Vestavia Hills, AL 35216-1258
Phone
(205) 414-1499
Fax
(205) 414-8244
NPI assigned
Oct 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 3822 AL Primary

Addresses

Primary practice location

1771 Independence CT
Suite 4
Vestavia Hills, AL 35216-1258

Mailing address

1771 Independence Court
Suite 4
Vestavia Hills, AL 35217
Phone (205) 414-1499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20170104001266 AL Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 3173804283

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3822ALMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Ballard Endo, LLC Endodontics PastSince Nov 12, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144300658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1771 INDEPENDENCE COURT",
            "address_2": "SUITE 4",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "35217",
            "telephone_number": "205-414-1499",
            "fax_number": "205-414-8244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1771 INDEPENDENCE CT",
            "address_2": "SUITE 4",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352161258",
            "telephone_number": "205-414-1499",
            "fax_number": "205-414-8244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "JAMES",
        "middle_name": "FLETCHER",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "AL",
            "license": "3822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia Hills, AL

Sources for this page

Verify at the official NPI Registry.