Rajveer Singh Bal, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

062073 Issued in NY

Practice address

1030 W Jericho Tpke
Smithtown, NY 11787-3215

Phone

(631) 486-6364

NPI assigned

Jun 27, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632614400000",
    "number": "1629639877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8008 267TH ST",
            "city": "GLEN OAKS",
            "state": "NY",
            "postal_code": "110041528",
            "telephone_number": "646-824-5992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 W JERICHO TPKE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873215",
            "telephone_number": "631-486-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAL",
        "first_name": "RAJVEER",
        "middle_name": "SINGH",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-27",
        "last_updated": "2021-09-26",
        "certification_date": "2021-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DC",
            "license": "DEN1002049",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "062073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Badolato
• Samuel Baharestani, M.D.
• Melissa M Bahr, BSW
• Andrew N. Bainnson, M.D.
• Raine Keegan Baker, LCSW
• Nancy Balkon, PHD, NP, FAANP
• Banyan Tree Birth Center LLC
• Nicole Baranek, FNP
• Roseann Baranta
• Malgorzata Lidia Barbach, LCSW-R

• Pediatric Dentistry in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2021; 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.