Organization Active NPI

Ballard Endo, LLC

  • Endodontics
  • Vestavia Hills, AL
National Provider Identifier
1588437032
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
BALLARD ENDO, LLC
Practice address
1771 Independence CT Ste 4
Vestavia Hills, AL 35216-1232
Phone
(205) 414-1499
Fax
(205) 414-8244
NPI assigned
Nov 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Authorized official

Name
Dr. James Fletcher Ballard, DMDNPI 1144300658
Title
Owner/Endodontist
Phone
(205) 414-1499

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
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

1771 Independence CT Ste 4
Vestavia Hills, AL 35216-1232

Mailing address

1771 Independence CT Ste 4
Vestavia Hills, AL 35216-1232
Phone (205) 414-1499

National Provider Directory

National Provider Directory

Locations

1771 Independence Ct
Ste 4
Vestavia Hills, AL 35216
Phone (205) 414-1499

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1588437032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1771 INDEPENDENCE CT STE 4",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352161232",
            "telephone_number": "205-414-1499",
            "fax_number": "205-414-8244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1771 INDEPENDENCE CT STE 4",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352161232",
            "telephone_number": "205-414-1499",
            "fax_number": "205-414-8244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALLARD ENDO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "BALLARD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "FLETCHER",
        "authorized_official_title_or_position": "OWNER/ENDODONTIST",
        "authorized_official_telephone_number": "205-414-1499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia Hills, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.