Individual provider Active NPI

Kareen Balian, D.M.D.

  • General Practice Dentistry
  • Bishop, CA
National Provider Identifier
1609319011
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DDS100325 Issued in CA
Practice address
459 W Line St Ste B
Bishop, CA 93514-3333
Phone
(760) 784-7020
Fax
(559) 326-5323
NPI assigned
Dec 2, 2016
Last updated
Oct 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DDS100325 CA Primary

Addresses

Primary practice location

459 W Line St Ste B
Bishop, CA 93514-3333

Mailing address

17636 Orna Dr
Granada Hills, CA 91344-1330
Phone (818) 264-5645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DDS100325CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Health Team Inc CurrentSince Oct 30, 2022 Accepting new patients
Alexander Balian,Professional Dental Corporation General Practice Past Accepting new patients

Locations

459 W Line St
Ste B
Bishop, CA 93514
Phone (760) 784-7020

Interoperability endpoints

  • Direct secure messaging: balian.kareen.p1@direct.toiyabe.nextgenshare.com
  • Direct secure messaging: kareen.balian.p1@direct.nevhc.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1480636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1609319011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17636 ORNA DR",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913441330",
            "telephone_number": "818-264-5645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 W LINE ST STE B",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935143333",
            "telephone_number": "760-784-7020",
            "fax_number": "559-326-5323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALIAN",
        "first_name": "KAREEN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-02",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS100325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bishop, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.