Joseph D. Ballenger Jr. DDS PA

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

D-2042-OS Issued in ID

Legal business name

JOSEPH D. BALLENGER JR. DDS PA

Practice address

339 W Iowa Ave
Nampa, ID 83686-2856

Phone

(208) 467-1227

Fax

(208) 467-1299

NPI assigned

Sep 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Joseph David Ballenger Jr., DDS PA

Title

Owner

Phone

(208) 467-1227

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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

• Philip Jones Hurst, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Nampa, ID
  • NPI 1588024517
  NPD (past)
• Courtney Kilkuts, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Nampa, ID
  • NPI 1831598994
  NPD (past)

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1457546798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 W IOWA AVE",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836862856",
            "telephone_number": "208-467-1227",
            "fax_number": "208-467-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 W IOWA AVE",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836862856",
            "telephone_number": "208-467-1227",
            "fax_number": "208-467-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH D. BALLENGER JR. DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "BALLENGER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-467-1227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS PA"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "ID",
            "license": "D-2042-OS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0026640000",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805475200",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hayley Jordan, LMSW
• Mallorie Jordan
• Sara Jordan, IS
• Jorge a. Martinez, MD, PA
• Jorge a. Martinez, MD, PA
• Journey Mental Health Nampa, LLC
• Journeys Hospice, Inc
• Nina Jozelic-Walker, LCSW
• Helena Juan
• Alicia Juarez, LMSW

• Oral and Maxillofacial Surgery (Dentist) in Nampa, ID
• Providers in Nampa, ID by specialty
• Oral and Maxillofacial Surgery (Dentist) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.