Thomas Anthony Balcerak, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

045070 Issued in NY

Practice address

2887 Elmwood Ave
Kenmore, NY 14217-1326

Phone

(716) 877-2275

NPI assigned

Oct 3, 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

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Advantage Dentistry

  • Dentist
  • Kenmore, NY
  • NPI 1700930500
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710071790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2887 ELMWOOD AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171326",
            "telephone_number": "716-877-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2887 ELMWOOD AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171326",
            "telephone_number": "716-877-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALCERAK",
        "first_name": "THOMAS",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "045070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan L Bainbridge, PT
• Katelyn A Baker, DPT
• Mariatu Baker
• Robert E Baker III, PA
• Morgan Rose Bakowski
• Jodi Susan Ball, MD
• Katelyn Ball, OTR/L
• Nicole Terese Banks, PT
• Francesco John Barbarossa, OD
• William Gregory Barclay, RPH

• All providers in Kenmore, NY
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.