Dan L Ballenger, D.D.S., P.A.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2520 Issued in AR

Practice address

12 Office Park Dr
Little Rock, AR 72211-3896

Phone

(501) 227-7999

Fax

(501) 227-9547

NPI assigned

Aug 1, 2006

Last updated

Jun 18, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Dr. Dan Ballenger

  • Dentist
  • Little Rock, AR
  • NPI 1144669672
  NPD (past) Authorized official
• Mounts Dental Care West

  • Dental Clinic/Center
  • Little Rock, AR
  • NPI 1639035801
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371513600000",
    "number": "1639186984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 OFFICE PARK DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113896",
            "telephone_number": "501-227-7999",
            "fax_number": "501-227-9547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 OFFICE PARK DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113896",
            "telephone_number": "501-227-7999",
            "fax_number": "501-227-9547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLENGER",
        "first_name": "DAN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.D.S., P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2013-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "2520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "831313",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BLUE CROSS",
            "identifier": "58597",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danny Mack Ballard, CRNA
• Mallory Kay Ballard
• Mikayla Lauren Ballard, APRN
• Rebecca Ballard
• Sommer Ballard
• Calesha Ballou
• Holly Marie Balogh, APRN
• Julius G. Balogh, M.D.
• Velma Louise Baltimore, PH.D
• Alan P Baltz, MD

• General Practice Dentistry in Little Rock, AR
• Providers in Little Rock, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.