Active NPI
Eric Michael Balsis, D.D.S.
- Dentist
- Berrien Springs, MI
National Provider Identifier
1679709422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901019981
- Practice address
- 8383 M 139
Berrien Springs, MI 49103-9001 - Phone
- (269) 471-4055
- NPI assigned
- Jun 8, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901019981 | MI | Primary |
Addresses
Primary practice location
8383 M 139
Berrien Springs, MI 49103-9001
Mailing address
8383 M 139
Berrien Springs, MI 49103-9001
Phone (269) 471-4055
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901019981 | MI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berrien Dental PLC | Dentist | Current | Accepting new patients |
Locations
8383 M 139
Berrien Springs, MI 49103
Phone (269) 471-4055
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670803200000",
"number": "1679709422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8383 M 139",
"city": "BERRIEN SPRINGS",
"state": "MI",
"postal_code": "491039001",
"telephone_number": "269-471-4055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8383 M 139",
"city": "BERRIEN SPRINGS",
"state": "MI",
"postal_code": "491039001",
"telephone_number": "269-471-4055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALSIS",
"first_name": "ERIC",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-08",
"last_updated": "2022-12-12",
"certification_date": "2022-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901019981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berrien Springs, MI
- Amani Foster Care, LLC (Old Farm Living)
- Austin Lee Andersen, DC
- Julian Anderson-Martin, MA, LLPC, LMHC (CND)
- Andrea R Beckford DDS Mba PLLC (University Family Dental Studio)
- Amita Bairagee
- Gregory Edward Bauman, D.D.S.
- Elizabeth Laird Baumann, LCSW
- Andrea R Beckford, DDS
- William Lamonte Bermeo, MD
- Berrien County Intermediate School District
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.