Lauren Ballard DMD, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LAUREN BALLARD DMD, PC

Practice address

6053 Fresh Pond Rd
Maspeth, NY 11378-3541

Phone

(267) 742-7709

NPI assigned

Sep 9, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Lauren Ballard, DMDNPI 1497257315

Title

Owner

Phone

(267) 742-7709

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lauren Ballard, DMD

  • General Practice Dentistry
  • Maspeth, NY
  • NPI 1497257315
  NPD Authorized official

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567987200000",
    "number": "1376192690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 33RD ST APT 1C",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111052399",
            "telephone_number": "267-742-7709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6053 FRESH POND RD",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113783541",
            "telephone_number": "267-742-7709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREN BALLARD DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-09",
        "last_updated": "2019-09-09",
        "status": "A",
        "authorized_official_last_name": "BALLARD",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-742-7709",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Krzystyniak
• L K Ampolex Inc
• James Lan
• Nestor Jose Larrondo Sr.
• Trevor Latchminarain, RPH
• Amorsolo Cenon Laureta Jr., P.T.
• Linda Lee, DMD
• Gerald Leifer, D.D.S.
• Nicole Leon, LPN
• Shing Kung Li, OTR/L

• General Practice Dentistry in Maspeth, NY
• Providers in Maspeth, 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 Sep 9, 2019; 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.