Kiah Ballantine

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12013029B Issued in IN

Practice address

2833 Lincoln St Ste 1
Highland, IN 46322-1957

Phone

(121) 983-8200

NPI assigned

Jun 22, 2018

Last updated

Jul 29, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Highland Pediatric Dentistry, P.C.

  • Pediatric Dentistry
  • Highland, IN
  • NPI 1790359370
  NPD
• All Family Dental & Braces, LLC.

  dba All About Kids Dental Care

  • General Practice Dentistry
  • Merrillville, IN
  • NPI 1083122097
  NPD (past)
• Childrens Dental Center of Northwest Indiana Inc

  • Pediatric Dentistry
  • Merrillville, IN
  • NPI 1497869341
  NPD (past)
• Pediatric Dentistry of Northwest Indiana PC

  • Pediatric Dentistry
  • Highland, IN
  • NPI 1861417818
  NPD (past)

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1316432305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2833 LINCOLN ST STE 1",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463221957",
            "telephone_number": "219-838-2007",
            "fax_number": "219-972-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2833 LINCOLN ST STE 1",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463221957",
            "telephone_number": "121-983-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7863 Broadway Ste 111",
            "address_purpose": "LOCATION",
            "city": "Merrillville",
            "state": "IN",
            "postal_code": "464105530",
            "country_code": "US",
            "telephone_number": "219-769-6636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALLANTINE",
        "first_name": "KIAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-22",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12013029B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "highlandpediatricdentistry@gmail.com",
            "affiliation": "N",
            "endpointDescription": "office email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2833 Lincoln St Ste 1",
            "city": "Highland",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463221957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Balogh & Cedarstaff Optometrists, P.C.
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• Marielva Banks, PA-C
• Destiny Rene Barajas
• Thomas John Barkoski, LAT, ATC

• General Practice Dentistry in Highland, IN
• Providers in Highland, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.