Individual provider Active NPI

Dana Joseph Ballerini, D.C.

  • Chiropractor
  • Tustin, CA
National Provider Identifier
1346298478
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC22575 Issued in CA
Practice address
1442 Irvine Blvd
101
Tustin, CA 92780-3801
Phone
(714) 544-3900
Fax
(714) 544-2731
NPI assigned
May 4, 2006
Last updated
Sep 9, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC22575 CA Primary

Addresses

Primary practice location

1442 Irvine Blvd
101
Tustin, CA 92780-3801

Mailing address

1442 Irvine Blvd
101
Tustin, CA 92780-3801
Phone (714) 544-3900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060927000487 CA Practitioner - Chiropractic 8820093701 Practice locations: Tustin, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Redhill Medical Center Inc CurrentSince Mar 4, 2021 Accepting new patients
Quality of Life Healthcare Inc CurrentSince Jan 6, 2020 Accepting new patients
Coflin Chiropractic Group,Inc. Chiropractor Past Accepting new patients

Locations

1442 Irvine Blvd
Ste 101
Tustin, CA 92780
Phone (714) 544-3900

Organizations & group practices 3

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220918400000",
    "number": "1346298478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1442 IRVINE BLVD",
            "address_2": "101",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803801",
            "telephone_number": "714-544-3900",
            "fax_number": "714-544-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1442 IRVINE BLVD",
            "address_2": "101",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803801",
            "telephone_number": "714-544-3900",
            "fax_number": "714-544-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLERINI",
        "first_name": "DANA",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2008-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC22575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.