NPIMap

Organization Active NPI

Balonek DDS PC

  • General Practice Dentistry
  • Rochester, NY
National Provider Identifier
1205974680
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
041559 Issued in NY
Legal business name
BALONEK DDS PC
Practice address
513 Beahan Rd
Rochester, NY 14624-3403
Phone
(585) 426-3050
NPI assigned
Feb 1, 2007
Last updated
Jun 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2013

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

Authorized official

Name
Dr. Mark T Balonek, DDSNPI 1326198565
Title
President
Phone
(585) 426-3050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 041559 NY Primary

Addresses

Primary practice location

513 Beahan Rd
Rochester, NY 14624-3403

Mailing address

513 Beahan Rd
Rochester, NY 14624-3403
Phone (585) 426-3050

National Provider Directory

National Provider Directory

Locations

513 Beahan Rd
Rochester, NY 14624
Phone (585) 426-3050

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371427200000",
    "number": "1205974680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 BEAHAN RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146243403",
            "telephone_number": "585-426-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 BEAHAN RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146243403",
            "telephone_number": "585-426-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALONEK DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2013-06-17",
        "status": "A",
        "authorized_official_last_name": "BALONEK",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-426-3050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "041559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; 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.