Baltasar Enterprises Inc.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD 222 Issued in OK

Legal business name

BALTASAR ENTERPRISES INC.

Practice address

729 Hamlet Cir
Yukon, OK 73099-4401

Phone

(405) 826-2023

Fax

(405) 654-1073

NPI assigned

Dec 27, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Edita Baltasar, MPH, RD, LDNPI 1710034699

Title

President

Phone

(405) 826-2023

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Edita C Baltasar, MPH, RD, LD

  • Registered Dietitian
  • Yukon, OK
  • NPI 1710034699

  Dietitian, Registered

  NPD (past) Authorized official

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578628855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850894",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730850894",
            "telephone_number": "405-826-2023",
            "fax_number": "405-354-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 HAMLET CIR",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730994401",
            "telephone_number": "405-826-2023",
            "fax_number": "405-654-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALTASAR ENTERPRISES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BALTASAR",
        "authorized_official_first_name": "EDITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-826-2023",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPH, RD, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OK",
            "license": "LD 222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Baldwin
• Hayley Balenseifen, PT, DPT
• Mark William Balenseifen, D.D.S.
• Curtis Errol Ball, DO
• Jim Ballard, PHARMD
• Edita C Baltasar, MPH, RD, LD
• Erin Balzer, D.O.
• Ronald D. Barber, M.D.
• Craig Lamont Barnes Jr.
• Heather Dianne Barnes, M.D.

• Registered Dietitian in Yukon, OK
• Providers in Yukon, OK by specialty
• Registered Dietitian in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.