Active NPI
Nane Baluyan, D.D.S.
- Dentist
- Bensalem, PA
National Provider Identifier
1205241551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS040337
- Practice address
- 3200 Bristol Rd
Bensalem, PA 19020 - Phone
- (215) 859-5555
- NPI assigned
- Jun 25, 2014
- Last updated
- Jul 1, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS040337 | PA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
3200 Bristol Rd
Bensalem, PA 19020
Mailing address
3200 Bristol Rd
Bensalem, PA 19020-2118
Phone (215) 859-5555
Other practice location 1
1650 Meetinghouse Rd
Warminster, PA 18974-1034
Phone (718) 666-5789
Other names 1
- Dr. Nane Ghazaryan
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS040337 | PA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ideal Smile of Exton | Dentist | Current | Accepting new patients |
| Ideal Smile Dental | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Exton, PA
- NPI 1942892377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530403200000",
"number": "1205241551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 BRISTOL RD",
"city": "BENSALEM",
"state": "PA",
"postal_code": "190202118",
"telephone_number": "215-859-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 BRISTOL RD",
"city": "BENSALEM",
"state": "PA",
"postal_code": "19020",
"telephone_number": "215-859-5555"
}
],
"practiceLocations": [
{
"address_1": "1650 Meetinghouse Rd",
"address_purpose": "LOCATION",
"city": "Warminster",
"state": "PA",
"postal_code": "189741034",
"country_code": "US",
"telephone_number": "718-666-5789",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BALUYAN",
"first_name": "NANE",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-25",
"last_updated": "2018-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS040337",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NANE",
"last_name": "GHAZARYAN",
"prefix": "DR.",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bensalem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.