Harbinder Bal, DMD, MSD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DE00010010 Issued in WA

Practice address

120 E Fir St Ste 101
Mount Vernon, WA 98273-2964

Phone

(360) 424-5175

NPI assigned

Jun 10, 2007

Last updated

Dec 21, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Harbinder Bal DMD, MSD, PS

  dba Mount Vernon Periodontics & Implants

  • Periodontics
  • Mount Vernon, WA
  • NPI 1609116656
  NPD Authorized official

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

{
    "created_epoch": "1181433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1477756096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E FIR ST STE 101",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982732964",
            "telephone_number": "360-424-5175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E FIR ST STE 101",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982732964",
            "telephone_number": "360-424-5175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAL",
        "first_name": "HARBINDER",
        "name_prefix": "Dr.",
        "credential": "DMD, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-10",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "WA",
            "license": "DE00010010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Ayala
• B. J. Larson, D.D.S., P. S.
• Tina Babb, CLINICIAN 1
• Gary A. Bachman, N.D.,R.N.
• Mark H Backlund, MD
• Sandeep Bal, MD
• Mark D. Baldwin, DO
• Thad Haorold Ballsmider, SUDPT
• John F Banaszak, A.T.C.
• Briana Lyn Bankston, LMHA

• Periodontics in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Periodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.