Organization Active NPI

Ballard Dental Associates

Doing business as Slater Dental Office

  • General Practice Dentistry
  • Huxley, IA
National Provider Identifier
1265699334
Registry record updated May 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7313 Issued in IA
Legal business name
BALLARD DENTAL ASSOCIATES
Doing business as
Slater Dental Office
Practice address
408 Campus Dr
Huxley, IA 50124-9762
Phone
(515) 597-5300
NPI assigned
May 17, 2008
Last updated
May 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2008

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

Authorized official

Name
Dr. Robert W Davis, D.D.S.NPI 1992837447
Title
Owner
Phone
(515) 597-5300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 7313 IA Primary

Addresses

Primary practice location

408 Campus Dr
Huxley, IA 50124-9762

Mailing address

408 Campus Dr
Huxley, IA 50124-9762
Phone (515) 597-5300

Other names 1

  • Slater Dental Office Doing business as

National Provider Directory

National Provider Directory

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": "1210982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210982400000",
    "number": "1265699334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 CAMPUS DR",
            "city": "HUXLEY",
            "state": "IA",
            "postal_code": "501249762",
            "telephone_number": "515-597-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 CAMPUS DR",
            "city": "HUXLEY",
            "state": "IA",
            "postal_code": "501249762",
            "telephone_number": "515-597-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALLARD DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-17",
        "last_updated": "2008-05-17",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-597-5300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "7313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Slater Dental Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huxley, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2008; 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.