Ballinger Dental Clinic

Primary specialty

DentistTaxonomy code 122300000X

License

7090 Issued in WA

Legal business name

BALLINGER DENTAL CLINIC

Practice address

20036 19TH Ave NE
Shoreline, WA 98155-1211

Phone

(206) 363-0401

Fax

(206) 363-0409

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Soleiman Soltani, D.D.S.

Title

Dentist

Phone

(206) 363-0401

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shohreh Khorsandi, D.D.S.

  • Dentist
  • Seattle, WA
  • NPI 1609079680
  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285843375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20036 19TH AVE NE",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981551211",
            "telephone_number": "206-363-0401",
            "fax_number": "206-363-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20036 19TH AVE NE",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981551211",
            "telephone_number": "206-363-0401",
            "fax_number": "206-363-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALLINGER DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOLTANI",
        "authorized_official_first_name": "SOLEIMAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "206-363-0401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "7090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5030820",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ana Baker, ARNP
• Benjamin Mark Baker
• Lucy B Baker, LMP
• Hiroe Y Ball, LMP
• Kenneth Bruk Ballenger, PT
• Jasmine Kayleen Balmelli-Morales
• Hailu Molla Bankashe
• Heather Lee Banks, CDP
• Esther Charmaine Barizo, D.D.S.
• Amy Barker, LMHCA

• Dentist in Shoreline, WA
• Providers in Shoreline, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.