Active NPI
Nermin J. Ballinger, D.M.D.
- General Practice Dentistry
- Winston-Salem, NC
National Provider Identifier
1700822194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7404
- Practice address
- 705 Coliseum Dr
Winston-Salem, NC 27106-5312 - Phone
- (336) 721-7921
- Fax
- (336) 721-7926
- NPI assigned
- Jun 22, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7404 | NC | Primary |
Addresses
Primary practice location
705 Coliseum Dr
Winston-Salem, NC 27106-5312
Mailing address
705 Coliseum Dr
Winston-Salem, NC 27106-5312
Phone (336) 721-7921
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017U2 | Other | NC | BCBSNC |
| 89902H3 | Medicaid | NC | |
| 902H3 | Other | NC | HEALTH CHOICE |
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 |
|---|---|---|---|
| 7404 | NC | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Londry, Modlin, Tucker II DDS PLLC | General Practice | Past | Accepting new patients |
| Ballinger and Ballinger DMD PLLC | General Practice | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Winston Salem, NC
- NPI 1205050168
-
- Pediatric Dentistry
- Winston-Salem, NC
- NPI 1700650371
General Practice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191974400000",
"number": "1700822194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 COLISEUM DR",
"city": "WINSTON-SALEM",
"state": "NC",
"postal_code": "271065312",
"telephone_number": "336-721-7921",
"fax_number": "336-721-7926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 COLISEUM DR",
"city": "WINSTON-SALEM",
"state": "NC",
"postal_code": "271065312",
"telephone_number": "336-721-7921",
"fax_number": "336-721-7926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLINGER",
"first_name": "NERMIN",
"middle_name": "J.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-22",
"last_updated": "2007-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "7404",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC",
"identifier": "017U2",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89902H3",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH CHOICE",
"identifier": "902H3",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winston-Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.