John Walter Ballrick, D.D.S., M.S.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

30.022156 Issued in OH

Practice address

28885 Center Ridge Rd Ste 203
Westlake, OH 44145-5275

Phone

(440) 835-6113

Fax

(440) 835-4344

NPI assigned

Nov 24, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Ballrick and Petts Orthodontics LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Westlake, OH
  • NPI 1093588964
  NPD Authorized official
• Ballrick Orthodontics, Inc.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Westlake, OH
  • NPI 1073523379
  NPD Authorized official

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

{
    "created_epoch": "1195862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1629259205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28885 CENTER RIDGE RD STE 203",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455275",
            "telephone_number": "440-835-6113",
            "fax_number": "440-331-8146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28885 CENTER RIDGE RD STE 203",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455275",
            "telephone_number": "440-835-6113",
            "fax_number": "440-835-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLRICK",
        "first_name": "JOHN",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-24",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OH",
            "license": "30.022156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Ballard, RBT
• Richard Joseph Ballas, D.D.S.
• Ballrick and Petts Orthodontics LLC
• Ballrick Orthodontics, Inc.
• James Walter Ballrick II, D.D.S.
• Peter Bambakidis, MD
• Saurabh Bansal, MD
• Fidel David Banuelos, DO
• Konstantin Baraz, PT, DPT
• Samir Barazi, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Westlake, OH
• Providers in Westlake, OH by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.