Felicia Baltazar, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1858045 Issued in MA

Practice address

7 Hadley St Ste 9
South Hadley, MA 01075-1058

Phone

(413) 538-7546

NPI assigned

Jun 19, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Baltazar Dental LLC

  • General Practice Dentistry
  • South Hadley, MA
  • NPI 1891395562
  NPD Authorized official

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1477047843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 GULF RD",
            "city": "BELCHERTOWN",
            "state": "MA",
            "postal_code": "010079353",
            "telephone_number": "413-262-9534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 HADLEY ST STE 9",
            "city": "SOUTH HADLEY",
            "state": "MA",
            "postal_code": "010751058",
            "telephone_number": "413-538-7546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Yorktown Ct",
            "address_purpose": "LOCATION",
            "city": "Chicopee",
            "state": "MA",
            "postal_code": "010204320",
            "country_code": "US",
            "telephone_number": "413-262-9534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31 Hall Dr",
            "address_purpose": "LOCATION",
            "city": "Amherst",
            "state": "MA",
            "postal_code": "010022751",
            "country_code": "US",
            "telephone_number": "413-253-9505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALTAZAR",
        "first_name": "FELICIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1858045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen J Arnold, BS NUTRITION
• Elizabeth Gallup Atkins, OTR/L
• Marcos Anthony Babilonia, RPH
• Balanced Healing & Therapy LLC
• Baltazar Dental LLC
• Sarah Baptiste
• Samantha Marie Barcome, FNP-C
• Colleen Rosemarie Barker, FNP-C
• Jessica Barnes
• Maggie Shelagh Barros

• General Practice Dentistry in South Hadley, MA
• Providers in South Hadley, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.