NPIMap

Organization Active NPI

Sheldon a. Ballou DMD,P.S.C.

  • General Practice Dentistry
  • Cave City, KY
National Provider Identifier
1487829636
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6425 Issued in KY
Legal business name
SHELDON A. BALLOU DMD,P.S.C.
Practice address
203 S Dixie Hwy
Cave City, KY 42127-8866
Phone
(270) 773-3943
Fax
(270) 773-3944
NPI assigned
Apr 29, 2008
Last updated
Apr 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Dr. Sheldon A. Ballou, DMDNPI 1578668562
Title
President
Phone
(270) 773-3943

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6425 KY Primary

Addresses

Primary practice location

203 S Dixie Hwy
Cave City, KY 42127-8866

Mailing address

203 S Dixie Hwy
Cave City, KY 42127-8866
Phone (270) 773-3943

Other identifiers 1

IdentifierTypeStateIssuer
45003779MedicaidKY

National Provider Directory

National Provider Directory
Tax ID family
Sheldon a Ballou DMD PSC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

203 S Dixie Hwy
Cave City, KY 42127
Phone (270) 773-3943

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1487829636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 S DIXIE HWY",
            "city": "CAVE CITY",
            "state": "KY",
            "postal_code": "421278866",
            "telephone_number": "270-773-3943",
            "fax_number": "270-773-3944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S DIXIE HWY",
            "city": "CAVE CITY",
            "state": "KY",
            "postal_code": "421278866",
            "telephone_number": "270-773-3943",
            "fax_number": "270-773-3944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELDON A. BALLOU DMD,P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "BALLOU",
        "authorized_official_first_name": "SHELDON",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-773-3943",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "6425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45003779",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cave City, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.