Organization Active NPI

Dr. Birute Balciunas

  • Podiatrist
  • Kenosha, WI
National Provider Identifier
1649449646
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
711-025 Issued in WI
Legal business name
DR. BIRUTE BALCIUNAS
Practice address
3535 30TH Ave Ste 203
Kenosha, WI 53144-1632
Phone
(262) 652-6555
NPI assigned
Feb 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Authorized official

Name
Dr. Birute Zita Balciunas
Title
Podiatrist/Business Owner
Phone
(262) 652-6555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 711-025 WI Primary

Addresses

Primary practice location

3535 30TH Ave Ste 203
Kenosha, WI 53144-1632

Mailing address

3535 30TH Ave Ste 203
Kenosha, WI 53144-1632
Phone (262) 652-6555

Other identifiers 1

IdentifierTypeStateIssuer
43221800MedicaidWI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1649449646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 30TH AVE STE 203",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441632",
            "telephone_number": "262-652-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 30TH AVE STE 203",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441632",
            "telephone_number": "262-652-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. BIRUTE BALCIUNAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "BALCIUNAS",
        "authorized_official_first_name": "BIRUTE",
        "authorized_official_middle_name": "ZITA",
        "authorized_official_title_or_position": "PODIATRIST/BUSINESS OWNER",
        "authorized_official_telephone_number": "262-652-6555",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "WI",
            "license": "711-025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43221800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.