Individual provider Active NPI

Juliann Balski, DDS

  • Dentist
  • Brunswick, OH
National Provider Identifier
1669560710
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
20134 Issued in OH
Practice address
1625 Pearl Road
Brunswick, OH 44212-3405
Phone
(330) 225-6151
Fax
(330) 225-0055
NPI assigned
Oct 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 20134 OH Primary

Addresses

Primary practice location

1625 Pearl Road
Brunswick, OH 44212-3405

Mailing address

1625 Pearl Road
Brunswick, OH 44212-3405
Phone (330) 225-6151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20160205001645 OH Order and Referring Only - DentistPractitioner - Dentist 4082918347

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20134OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Juliann R. Demand-Balski DDS Inc. Dentist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669560710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 PEARL ROAD",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442123405",
            "telephone_number": "330-225-6151",
            "fax_number": "330-225-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 PEARL ROAD",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442123405",
            "telephone_number": "330-225-6151",
            "fax_number": "330-225-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALSKI",
        "first_name": "JULIANN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "20134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, OH

Sources for this page

Verify at the official NPI Registry.