David Jon Ballenger, D.C.
Individual provider Active NPI Chiropractor · Timonium, MD
NPI 1407855497 · NPPES record last updated Dec 19, 2007
Key facts
- NPI
- 1407855497
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- S01982 (MD)
- Practice address
- 9632 Deereco Rd
Timonium, MD 21093-2120 - Phone
- (410) 252-1000
- Fax
- (410) 252-6809
- NPI assigned
- Jul 20, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ballenger Chiropractic, P.a.
Practice addresses (Care Compare)
9632 Deereco Rd
Timonium, MD 21093-2120
Phone (410) 252-1000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120104000553 | MD | Practitioner - Chiropractic | 0446336804 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ballenger Chiropractic, P.a. | Chiropractor | Current |
Accepting new patients |
Locations
9632 Deereco Rd
Timonium, MD 21093
Phone (410) 252-1000
9632 Deereco Rd
#8
Timonium, MD 21093
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | S01982 | MD | Yes |
Addresses
Primary practice location
9632 Deereco Rd
Timonium, MD 21093-2120
Mailing address
9632 Deereco Rd
Timonium, MD 21093-2120
Phone (410) 252-1000
Other providers in Timonium, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.