NPIMap

Organization Active NPI

Kristen Balutowicz DDS PC

  • General Practice Dentistry
  • Troy, MI
National Provider Identifier
1174072441
Registry record updated Sep 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KRISTEN BALUTOWICZ DDS PC
Practice address
6649 Rochester Rd
Suite C
Troy, MI 48085-1389
Phone
(248) 849-7240
NPI assigned
Sep 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2016

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

Authorized official

Name
Dr. Kristen Balutoiwcz, DDS
Title
President
Phone
(248) 879-7240

Specialties & licenses 1

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

Addresses

Primary practice location

6649 Rochester Rd
Suite C
Troy, MI 48085-1389

Mailing address

6649 Rochester Rd
Suite C
Troy, MI 48085-1389

National Provider Directory

National Provider Directory

Locations

6649 Rochester Rd
Ste C
Troy, MI 48085
Phone (248) 849-7240

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1475020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475020800000",
    "number": "1174072441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6649 ROCHESTER RD",
            "address_2": "SUITE C",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6649 ROCHESTER RD",
            "address_2": "SUITE C",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851389",
            "telephone_number": "248-849-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTEN BALUTOWICZ DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-28",
        "last_updated": "2016-09-28",
        "status": "A",
        "authorized_official_last_name": "BALUTOIWCZ",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-879-7240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; 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.