Carrel Balderston DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

42119 Issued in CA

Legal business name

CARREL BALDERSTON DDS INC

Practice address

1074 East Ave
Suite U
Chico, CA 95926-1005

Phone

(530) 342-8580

NPI assigned

Jan 10, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Lori Balderston

Title

Bookkeeper

Phone

(530) 872-2489

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carrel D Balderston Jr., DDS

  • General Practice Dentistry
  • Chico, CA
  • NPI 1750580288
  NPD (past)
• Martin Manzella Jr., DENTIST

  • Dentist
  • Chico, CA
  • NPI 1790830735
  NPD (past)

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484006400000",
    "number": "1144766528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1074 EAST AVE",
            "address_2": "SUITE U",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959261005",
            "telephone_number": "530-342-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1074 EAST AVE",
            "address_2": "SUITE U",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959261005",
            "telephone_number": "530-342-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARREL BALDERSTON DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-10",
        "last_updated": "2017-01-10",
        "status": "A",
        "authorized_official_last_name": "BALDERSTON",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "530-872-2489",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "42119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alfred Dodd Carr, OD
• Grace Carr
• Graydon Ramos Carr, DDS
• Stacey Isabel Carrasco
• Marytere Carrasquillo Navarro, MD
• Oscar Santiago Carrillo Espinoza, BA
• Alexis S Carrillo
• Jessica Carrillo, DENTIST
• Christine V Carroll, LVN
• Katherine June Carson

• Dental Clinic/Center in Chico, CA
• Providers in Chico, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; 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.