Organization Active NPI

Stephen W. Ballard

  • General Practice Dentistry
  • Loveland, CO
National Provider Identifier
1346464427
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
105813 Issued in CO
Legal business name
STEPHEN W. BALLARD
Practice address
2998 Ginnala Dr
Suite 101
Loveland, CO 80538-7819
Phone
(970) 669-1236
Fax
(970) 622-8521
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Carrie Delaney
Title
Insurance Coordinator
Phone
(970) 669-1236

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 105813 CO Primary

Addresses

Primary practice location

2998 Ginnala Dr
Suite 101
Loveland, CO 80538-7819

Mailing address

2998 Ginnala Dr
Suite 101
Loveland, CO 80538-7819
Phone (970) 669-1236

National Provider Directory

National Provider Directory

Locations

2998 Ginnala Dr
Ste 101
Loveland, CO 80538
Phone (970) 669-1236

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346464427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2998 GINNALA DR",
            "address_2": "SUITE 101",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805387819",
            "telephone_number": "970-669-1236",
            "fax_number": "970-622-8521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2998 GINNALA DR",
            "address_2": "SUITE 101",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805387819",
            "telephone_number": "970-669-1236",
            "fax_number": "970-622-8521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN W. BALLARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DELANEY",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "970-669-1236"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "105813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

  • 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.