Amanda Ahmed Ball, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

39815 Issued in TX

Practice address

2703 Gilmer Rd
Longview, TX 75604-1823

Phone

(903) 759-2902

NPI assigned

Sep 13, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sanders Dental Associates PC

  • General Practice Dentistry
  • Longview, TX
  • NPI 1154407542
  NPD (past)
• Barnes & Associates Dentistry SC

  • General Practice Dentistry
  • Appleton, WI
  • NPI 1780086108
  NPD (past)
• Grand View Family and Cosmetic Dentistry

  • General Practice Dentistry
  • Appleton, WI
  • NPI 1598889222
  NPD (past)

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1356691745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 GILMER RD",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756041823",
            "telephone_number": "903-759-2902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 GILMER RD",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756041823",
            "telephone_number": "903-759-2902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALL",
        "first_name": "AMANDA",
        "middle_name": "AHMED",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-13",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "39815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Raymond Baker, DC
• Joshua Baker
• Larry D Baker, R.PH.
• Misty Dawn Baker, DPM
• Roger Seth Baker, MD
• Charles W Ball Jr., MD
• Jane B. Ball, MSPT
• Joe Wayne Ball, PT
• Layn Ballenger, D.C.
• Virginia Jo Ballert-Savoldi, LICENSED MASSAGE THE

• General Practice Dentistry in Longview, TX
• Providers in Longview, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.