Organization Active NPI

Marc L. Ball DDS, PS

  • Dentist
  • Wenatchee, WA
National Provider Identifier
1205289352
Registry record updated Jul 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5215 Issued in WA
Legal business name
MARC L. BALL DDS, PS
Practice address
620 N Emerson Ave
Suite 103
Wenatchee, WA 98801-6619
Phone
(509) 662-9685
NPI assigned
Jul 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2016

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

Authorized official

Name
Mary E Troy
Title
Financial Coordinator
Phone
(509) 662-9685

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5215 WA Primary

Addresses

Primary practice location

620 N Emerson Ave
Suite 103
Wenatchee, WA 98801-6619

Mailing address

620 N Emerson Ave
Suite 103
Wenatchee, WA 98801-6619
Phone (509) 662-9685

Other identifiers 1

IdentifierTypeStateIssuer
6729430001OtherWAMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

620 N Emerson Ave
Ste 103
Wenatchee, WA 98801
Phone (509) 662-9685

Practitioners & affiliated clinicians

Practitioners 1

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": "1468368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468368000000",
    "number": "1205289352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N EMERSON AVE",
            "address_2": "SUITE 103",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988016619",
            "telephone_number": "509-662-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N EMERSON AVE",
            "address_2": "SUITE 103",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988016619",
            "telephone_number": "509-662-9685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC L. BALL DDS, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-13",
        "last_updated": "2016-07-13",
        "status": "A",
        "authorized_official_last_name": "TROY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "FINANCIAL COORDINATOR",
        "authorized_official_telephone_number": "509-662-9685"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "5215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "6729430001",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wenatchee, WA

Sources for this page

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