Brian a. Balda, D.M.D.,P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19-020401 Issued in IL

Legal business name

BRIAN A. BALDA, D.M.D.,P.C.

Practice address

401 E Washington Ave
Effingham, IL 62401-3442

Phone

(217) 342-3411

Fax

(217) 347-6551

NPI assigned

Jan 25, 2007

Last updated

Apr 15, 2008By 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

Dr. Brian A. Balda, D.M.D.NPI 1801040019

Title

Dentist

Phone

(217) 342-3411

Specialties & licenses 1

Addresses

Other names 1

• BALDA Dental Office Other name

Locations

Practitioners 2

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.

• Brian A Balda, D.M.D.

  • Dentist
  • Effingham, IL
  • NPI 1801040019
  NPD (past) Authorized official
• Christopher V Balda, D.M.D.

  • General Practice Dentistry
  • Effingham, IL
  • NPI 1003240540
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1598811499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E WASHINGTON AVE",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624013442",
            "telephone_number": "217-342-3411",
            "fax_number": "217-347-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E WASHINGTON AVE",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624013442",
            "telephone_number": "217-342-3411",
            "fax_number": "217-347-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN A. BALDA, D.M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "BALDA",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "217-342-3411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19-020401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BALDA Dental Office",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jay A Borum, D.C.
• Emily S. Boyajian, APN
• Ruben D Boyajian, MD
• Brason Holistics, LLC
• Avery Marie Braunecker, LSW
• Brian N. Ogan, MD
• Derick Bright
• Kaycee Britton, BA, MHP
• Broncor Inc
• Brookstone Estates of Effingham

• General Practice Dentistry in Effingham, IL
• Providers in Effingham, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.