Individual provider Active NPI

Kurt Bally, D.M.D

  • General Practice Dentistry
  • Jupiter, FL
National Provider Identifier
1497870034
Registry record updated Feb 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN17659 Issued in FL
Practice address
4050 S US Highway 1
Suite 322
Jupiter, FL 33477-1123
Phone
(561) 691-6055
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN17659 FL Primary

Addresses

Primary practice location

4050 S US Highway 1
Suite 322
Jupiter, FL 33477-1123

Mailing address

4050 S US Highway 1 Ste 322
Jupiter, FL 33477-1123
Phone (561) 691-6055

Other practice location 1

2280 N Congress Ave
Boynton Beach, FL 33426-8604
Phone (561) 732-2400

Other practice location 2

13860 Wellington Trce Ste 14
Wellington, FL 33414-8590
Phone (561) 791-4440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN17659FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kurt O Bally DMD PA General Practice Current Accepting new patients
Modern Dental Smiles of Wellington PA General Practice Current Accepting new patients
Modern Dental Smiles PA General Practice Current Accepting new patients

Locations

2280 N Congress Ave
Boynton Beach, FL 33426
Phone (561) 375-8911

4050 S US Highway 1
Ste 322
Jupiter, FL 33477
Phone (561) 691-6055

13860 Wellington Trce
Ste 14
Wellington, FL 33414
Phone (561) 791-4440

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771718400000",
    "number": "1497870034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 S US HIGHWAY 1 STE 322",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334771123",
            "telephone_number": "561-691-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 S US HIGHWAY 1",
            "address_2": "SUITE 322",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334771123",
            "telephone_number": "561-691-6055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2280 N Congress Ave",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334268604",
            "country_code": "US",
            "telephone_number": "561-732-2400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13860 Wellington Trce Ste 14",
            "address_purpose": "LOCATION",
            "city": "Wellington",
            "state": "FL",
            "postal_code": "334148590",
            "country_code": "US",
            "telephone_number": "561-791-4440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALLY",
        "first_name": "KURT",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2026-02-22",
        "certification_date": "2026-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2026; 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.