Erik T Balster, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

08359 Issued in IA

Practice address

4207 Glass Rd. NE Suite 2
Cedar Rapids, IA 52402

Phone

(319) 294-8181

Fax

(319) 261-8182

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Balster & Pfohl Pediatric Dentistry LLP

  • Pediatric Dentistry
  • Cedar Rapids, IA
  • NPI 1538013479
  NPD Authorized official
• Balster Pediatric Dentistry, PC

  • Pediatric Dentistry
  • Cedar Rapids, IA
  • NPI 1598922247
  NPD (past) Authorized official

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568476604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 WASHINGTON AVE UNIT 5",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523179066",
            "telephone_number": "319-325-1064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4207 GLASS RD. NE SUITE 2",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "52402",
            "telephone_number": "319-294-8181",
            "fax_number": "319-261-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALSTER",
        "first_name": "ERIK",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IA",
            "license": "08359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1475392",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Balanced Physical Therapy PC
• Stephanie Baldwin, MD
• Erin Balk, ARNP
• Balster & Pfohl Pediatric Dentistry LLP
• Balster Pediatric Dentistry, PC
• Erin Balvanz, LISW
• Nicole Banasik, MSN, AGACNP-BC
• Jenna Marie Banaszek, LMSW
• Luong M. Banh, M.D.
• John Banks, MD

• Pediatric Dentistry in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Pediatric Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.