Balster Pediatric Dentistry, PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

BALSTER PEDIATRIC DENTISTRY, PC

Practice address

4207 Glass Rd NE
Ste 2
Cedar Rapids, IA 52402-2538

Phone

(319) 294-8181

Fax

(319) 261-8182

NPI assigned

May 20, 2008

Last updated

May 20, 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. Erik Thomas Balster, DDSNPI 1568476604

Title

Owner

Phone

(319) 294-8181

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Erik T Balster, D.D.S.

  • Pediatric Dentistry
  • Cedar Rapids, IA
  • NPI 1568476604
  NPD (past) Authorized official

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1598922247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4207 GLASS RD NE",
            "address_2": "STE 2",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524022538",
            "telephone_number": "319-294-8181",
            "fax_number": "319-261-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4207 GLASS RD NE",
            "address_2": "STE 2",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524022538",
            "telephone_number": "319-294-8181",
            "fax_number": "319-261-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALSTER PEDIATRIC DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "BALSTER",
        "authorized_official_first_name": "ERIK",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-294-8181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1475392",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark A Bakkum, BOARD CERTIFIED IOWA
• Balanced Physical Therapy PC
• Stephanie Baldwin, MD
• Erin Balk, ARNP
• Balster & Pfohl Pediatric Dentistry LLP
• Erik T Balster, D.D.S.
• Erin Balvanz, LISW
• Nicole Banasik, MSN, AGACNP-BC
• Jenna Marie Banaszek, LMSW
• Luong M. Banh, M.D.

• 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 May 20, 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.