Kala Balan, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN15351 Issued in FL

Practice address

1838 Miccosukee Rd
Tallahassee, FL 32308-5250

Phone

(850) 878-1345

Fax

(850) 878-5496

NPI assigned

Dec 2, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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 and National Provider Directory roles.

• Manocha, McSoley, & Balan

  • General Practice Dentistry
  • Tallahassee, FL
  • NPI 1770920357
  NPD (past)

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385942400000",
    "number": "1437580404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1838 MICCOSUKEE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085250",
            "telephone_number": "850-878-1345",
            "fax_number": "850-878-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1838 MICCOSUKEE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085250",
            "telephone_number": "850-878-1345",
            "fax_number": "850-878-5496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALAN",
        "first_name": "KALA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-02",
        "last_updated": "2013-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN15351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "DN 15351",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Murray Lester Baker Jr., M.D.
• Shatia Baker
• Tiana C.V. Baker
• Tiffany Baker, RBT
• Wilmoth Henry Baker III, MD
• Balance Disorders Clinic, Inc
• Fiona Tagod Balandra, PT,DPT
• William Baldock Jr., DMD
• Emily Ware Baldwin
• Dhanin Cole Balgobin

• General Practice Dentistry in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; 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.