NPIMap

Organization Active NPI

Matthew M. Ballinger DDS, LLC

  • General Practice Dentistry
  • Pittsfield, MA
National Provider Identifier
1144593674
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1855264 Issued in MA
Legal business name
MATTHEW M. BALLINGER DDS, LLC
Practice address
200 Elm St
Lower Suite
Pittsfield, MA 01201-6551
Phone
(443) 610-7591
NPI assigned
Feb 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2012

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

Authorized official

Name
Dr. Matthew M Ballinger, DDS
Title
Dentis
Phone
(443) 610-7591

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN1855264 MA Primary

Addresses

Primary practice location

200 Elm St
Lower Suite
Pittsfield, MA 01201-6551

Mailing address

200 Elm St
Lower Suite
Pittsfield, MA 01201-6551
Phone (443) 610-7591

National Provider Directory

National Provider Directory

Locations

200 Elm St
Lowr
Pittsfield, MA 01201
Phone (443) 610-7591

NPI Registry JSON

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

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1144593674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ELM ST",
            "address_2": "LOWER SUITE",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016551",
            "telephone_number": "443-610-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ELM ST",
            "address_2": "LOWER SUITE",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016551",
            "telephone_number": "443-610-7591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW M. BALLINGER DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-14",
        "last_updated": "2012-02-14",
        "status": "A",
        "authorized_official_last_name": "BALLINGER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIS",
        "authorized_official_telephone_number": "443-610-7591",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1855264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; 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.