Individual provider Active NPI

Gregg K. Balis, DDS

  • General Practice Dentistry
  • Palm Desert, CA
National Provider Identifier
1194785246
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
35221 Issued in CA
Practice address
73121 Fred Waring Dr
Suite 102
Palm Desert, CA 92260-2868
Phone
(760) 346-6273
Fax
(760) 340-0024
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 35221 CA Primary

Addresses

Primary practice location

73121 Fred Waring Dr
Suite 102
Palm Desert, CA 92260-2868

Mailing address

73121 Fred Waring Dr
Suite 102
Palm Desert, CA 92260-2868
Phone (760) 346-6273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1194785246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73121 FRED WARING DR",
            "address_2": "SUITE 102",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922602868",
            "telephone_number": "760-346-6273",
            "fax_number": "760-340-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73121 FRED WARING DR",
            "address_2": "SUITE 102",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922602868",
            "telephone_number": "760-346-6273",
            "fax_number": "760-340-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALIS",
        "first_name": "GREGG",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "35221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.