Jorge Antonio Baltzell, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

12014795A Issued in IN

Practice address

6412 Winchester Rd
Fort Wayne, IN 46819-1550

Phone

(260) 747-4747

NPI assigned

Jun 16, 2025

Last updated

Jun 16, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Harrison Dental Group II, LLC

  dba Harrison Dental Group

  • General Practice Dentistry
  • Fort Wayne, IN
  • NPI 1689140949
  NPD (past)
• Harrison Dental Group III LLC

  • General Practice Dentistry
  • Fort Wayne, IN
  • NPI 1083217970
  NPD (past)
• Ronald L Rumbaugh DDS PC

  • General Practice Dentistry
  • Fort Wayne, IN
  • NPI 1578959375
  NPD (past)

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

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1225924194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7424 BOJRAB DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468354153",
            "telephone_number": "317-273-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6412 WINCHESTER RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468191550",
            "telephone_number": "260-747-4747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1333 Getz Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468041609",
            "country_code": "US",
            "telephone_number": "260-432-3588",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10506 Coldwater Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468451235",
            "country_code": "US",
            "telephone_number": "260-637-6976",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2801 Maplecrest Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468157015",
            "country_code": "US",
            "telephone_number": "260-486-4444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALTZELL",
        "first_name": "JORGE",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12014795A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Ballinger, PHARMD
• Jennifer P Ballinger
• Annette Balser
• Baltes Cardiology
• Christopher A. Baltes, MD
• Jacob Balyeat, PHARMD
• Thomas Mark Banas, M.D.
• Joycelyn Banda
• Bandaidsplus, LLC
• Stephanie R Bandy, DPT, ATC

• Dentist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.