Active NPI
Cynthia Laverty Ballesteros, M.D.
- Family Medicine Physician
- Denton, TX
National Provider Identifier
1598057473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- Q3223
- Practice address
- 3751 S I 35 E
Denton, TX 76210-6852 - Phone
- (940) 383-2700
- Fax
- (940) 383-7640
- NPI assigned
- May 10, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01081615A | IN | |
| Family Medicine Physician | 207Q00000X | 2019-00095 | NC | |
| Family Medicine Physician | 207Q00000X | 0101266203 | VA | |
| Family Medicine Physician | 207Q00000X | Q3223 | TX | Primary |
Addresses
Primary practice location
3751 S I 35 E
Denton, TX 76210-6852
Mailing address
PO Box 9101
Coppell, TX 75019-9494
Phone (940) 383-2700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01081615A | IN | MD | Family Medicine Physician |
| 2019-00095 | NC | MD | Family Medicine Physician |
| 0101266203 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Health Physicians, PLLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Montgomery, TX
- NPI 1871792309
-
- Urgent Care Clinic/Center
- Denton, TX
- NPI 1770048704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571616000000",
"number": "1598057473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9101",
"city": "COPPELL",
"state": "TX",
"postal_code": "750199494",
"telephone_number": "940-383-2700",
"fax_number": "940-383-7640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3751 S I 35 E",
"city": "DENTON",
"state": "TX",
"postal_code": "762106852",
"telephone_number": "940-383-2700",
"fax_number": "940-383-7640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAVERTY BALLESTEROS",
"first_name": "CYNTHIA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-10",
"last_updated": "2019-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01081615A",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2019-00095",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101266203",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "Q3223",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Lawrence a. Shafron MD PA (Advanced Eye Care Center)
- Wendy Susanne Laymon, FNP-C
- Tanna K Lazaroff
- LBM Medical Clinic LLC.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.