Arun Balakumar, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

051141 Issued in NY

Practice address

1500 Grant Blvd
Syracuse, NY 13208-3014

Phone

(315) 472-3414

Fax

(315) 472-4320

NPI assigned

Jan 24, 2007

Last updated

Nov 3, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 1500 Grant Blvd Dentistry, PLLC

  • Dental Clinic/Center
  • Syracuse, NY
  • NPI 1497263685
  NPD (past) Authorized official
• Aj Dental PC

  • General Practice Dentistry
  • Yonkers, NY
  • NPI 1194996728
  NPD (past) Authorized official
• Grant Blvd Dental PLLC

  • General Practice Dentistry
  • Syracuse, NY
  • NPI 1982729091
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1366597916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 GRANT BLVD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132083014",
            "telephone_number": "315-472-3414",
            "fax_number": "315-472-4320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 GRANT BLVD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132083014",
            "telephone_number": "315-472-3414",
            "fax_number": "315-472-4320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALAKUMAR",
        "first_name": "ARUN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "051141",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "051141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02561315",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Marie Baker, LMHC
• William Perry Baker III, DDS
• Hannah Bakowski, MS, RDN
• Dmitriy Bakrukov, MD
• Jenna Grossman Bakrukov, FNP
• Gajan Balakumar, MD
• Tammy L Balamut, NP (PSYCHIATRIC NP)
• Mary Irene Balcerak
• Sarah B. Balch, LMSW
• Wesleyann M. Balcom, LMSW

• General Practice Dentistry in Syracuse, NY
• Providers in Syracuse, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.