Tiffany Ballesteros, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D011415 Issued in AZ

Practice address

3885 S Arizona Ave Ste 3
Chandler, AZ 85248-0917

Phone

(480) 782-1555

Fax

(480) 782-5111

NPI assigned

Jun 13, 2022

Last updated

May 28, 2026By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in AZ

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

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

• Las Tiendas Dental Group, LLP

  dba Dentists of Chandler

  • General Practice Dentistry
  • Chandler, AZ
  • NPI 1609962760
  NPD (past)

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1487384574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3885 S ARIZONA AVE STE 3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852480917",
            "telephone_number": "480-782-1555",
            "fax_number": "480-782-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3885 S ARIZONA AVE STE 3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852480917",
            "telephone_number": "480-782-1555",
            "fax_number": "480-782-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLESTEROS",
        "first_name": "TIFFANY",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D011415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Baldwin
• Tresha D Baldwin, PT
• John Tecumseh Wallace Ball, DC
• Brooke Ballard
• Kristian Royal Balle, DO
• Matthew Mark Balocco, DO
• Tanya Marie Balov, D.O.
• Michell Bambenek, PT
• Venu Bandi, B.PHARM
• Deb K Banerjee, MD

• Dentist in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.