Joseph Andrew Balaschak, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DS020190L Issued in PA

Practice address

216 Dibert Street
Johnstown, PA 15901

Phone

(814) 535-7681

Fax

(814) 539-5708

NPI assigned

Nov 1, 2006

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

Other identifiers 2

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199404800000",
    "number": "1659458396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 HOWARD AVENUE",
            "address_2": "BLDG B-108",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014811",
            "telephone_number": "814-942-9701",
            "fax_number": "814-942-7114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 DIBERT STREET",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "15901",
            "telephone_number": "814-535-7681",
            "fax_number": "814-539-5708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALASCHAK",
        "first_name": "JOSEPH",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS020190L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00011333510001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005398260001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather D Bailey
• Hopeton Bailey Jr., CGP, CAGCS, CCTP, NC
• Ryan Bailey, DO
• Jessica Lynn Bako
• Kimberly Lee Balamuta, R.N.
• Henry Baldinucci, MD
• Alexis Ann Baldwin
• Jennifer Anne Balon, MSN, CRNP
• Victoria Lynn Balzarano, RN
• Cynthia Ann Banda, M.S., CCC-SLP

• Pediatric Dentistry in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Pediatric Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.