Nitya Balan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

27778 Issued in TX

Practice address

715 Discovery Blvd
Suite 119
Cedar Park, TX 78613-2287

Phone

(512) 260-8330

Fax

(512) 260-8332

NPI assigned

Nov 28, 2006

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397606400000",
    "number": "1275609455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 DISCOVERY BLVD",
            "address_2": "SUITE 119",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132287",
            "telephone_number": "512-260-8330",
            "fax_number": "512-260-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 DISCOVERY BLVD",
            "address_2": "SUITE 119",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132287",
            "telephone_number": "512-260-8330",
            "fax_number": "512-260-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALAN",
        "first_name": "NITYA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2014-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher William Bailey, MD, FACS
• Laura Marguerite Goggin Bailey, M.A. CCC-SLP
• Michelle Baillio, LMT
• Dakota Cheyenne Bain
• B. Jill L Balagur-Conn, LCSW
• Balance Mental Health Counseling LLC
• Balanced Minds PLLC
• Shveta Balar
• Jeana L Baldwin, M.S.W.
• Ramya Sri Balijepally, MD

• All providers in Cedar Park, TX
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.