Individual provider Active NPI

Lauren Kristeen Ballinger, DDS

  • Pediatric Dentistry
  • Pittsfield, MA
National Provider Identifier
1235235144
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
1855264 Issued in MA
Practice address
200 Elm St
Pittsfield, MA 01201-6551
Phone
(413) 499-4850
Fax
(413) 442-0255
NPI assigned
Sep 16, 2006
Last updated
May 20, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 1855264 MA Primary

Addresses

Primary practice location

200 Elm St
Pittsfield, MA 01201-6551

Mailing address

200 Elm St
Pittsfield, MA 01201-6551
Phone (413) 499-4850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160604000078 MA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 3274823125

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1855264MAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
The Nurture Frenectomy Center Current Accepting new patients
Louis M Yarmosky DDS MSD & Steven E Yarmosky DDS PC Pediatric Dentistry 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.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369008000000",
    "number": "1235235144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ELM ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016551",
            "telephone_number": "413-499-4850",
            "fax_number": "413-442-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ELM ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016551",
            "telephone_number": "413-499-4850",
            "fax_number": "413-442-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLINGER",
        "first_name": "LAUREN",
        "middle_name": "KRISTEEN",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2013-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "1855264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

Verify at the official NPI Registry.