Krishnan R. Bala DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

AZ2627 Issued in AZ

Legal business name

KRISHNAN R. BALA DDS

Practice address

10503 W Thunderbird Blvd
309
Sun City, AZ 85351-3022

Phone

(623) 977-6402

Fax

(623) 977-9521

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Krishnan R Bala, DDSNPI 1811103369

Title

President

Phone

(623) 977-6402

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Krishnan R Bala, D D S

  • General Practice Dentistry
  • Sun City, AZ
  • NPI 1811103369
  NPD (past) Authorized official

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299628800000",
    "number": "1487860607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10503 W THUNDERBIRD BLVD",
            "address_2": "309",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513022",
            "telephone_number": "623-977-6402",
            "fax_number": "623-977-9521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10503 W THUNDERBIRD BLVD",
            "address_2": "309",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513022",
            "telephone_number": "623-977-6402",
            "fax_number": "623-977-9521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISHNAN R. BALA DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2011-03-09",
        "status": "A",
        "authorized_official_last_name": "BALA",
        "authorized_official_first_name": "KRISHNAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-977-6402",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "AZ2627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Krasowski, DNP
• Kris E. Kratz, PH.D., ABPP
• Joy Krick
• Charles Krischer, M.D.
• Kayla Krishnamurthy-Zarate
• Bill Jerome Kronenberg, RPH
• Lauren Marie Krowitz, MS, BCBA, LBA
• Ramona Alicia Krutzik, MD
• Kssrgh Sleep
• Wendy Kuhns

• General Practice Dentistry in Sun City, AZ
• Providers in Sun City, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; 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.