Randall Neal Ball, DDS
Individual provider Active NPI Pediatric Dentistry · Greenville, NC
NPI 1447237672 · NPPES record last updated May 5, 2022
Key facts
- NPI
- 1447237672
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- License
- 0242 (NC)
- Practice address
- 1851 Macgregor Downs Rd
Greenville, NC 27834-5925 - Phone
- (252) 737-7000
- NPI assigned
- Dec 29, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220812001911 | NC | Practitioner - Dentist | 2668740556 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0242 | NC | MD | Psychologist |
| 2490 | WV | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Carolina University | Current |
Accepting new patients | |
| East Carolina University | Current | Accepting new patients | |
| East Carolina University | Current |
Accepting new patients |
Locations
1851 Macgregor Downs Rd
Greenville, NC 27834
Phone (252) 737-7000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 2490 | WV | |
| Pediatric Dentistry | 1223P0221X | 0242 | NC | Yes |
Addresses
Primary practice location
1851 Macgregor Downs Rd
Greenville, NC 27834-5925
Mailing address
1 Jarrett White Road
Attn: MCDS-NH US Army Dental Activity Hawaii
Tripler AMC, HI 96859-5000
Phone (808) 433-1021
Other providers in Greenville, NC
- Balance Point Integrative Solutions, LLC
- Balance You Physical Therapy, LLC
- Michell M Baldwin
- Nicollette Arielle Baldwin
- Christopher Randell Ball
- Somasekhara R Balla
- William A Ballance Jr.
- Alyssa Lauren Ballestero
- Maria Isabel Baltar de Barros Rego
- Richard J Baltaro
All providers in Greenville, NC · Pediatric Dentistry in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2022. 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.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.