Banafsheh M Ball, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

14676 Issued in MD

Practice address

15245 Shady Grove Rd Ste 260
Rockville, MD 20850-3222

Phone

(240) 848-7074

Fax

(240) 848-7075

NPI assigned

Aug 27, 2010

Last updated

Oct 30, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Bana Ball DMD LLC

  dba Shady Grove Pediatric Dentistry

  • Pediatric Dentistry
  • Rockville, MD
  • NPI 1548804867
  NPD Authorized official

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1720394794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15245 SHADY GROVE RD STE 260",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503222",
            "telephone_number": "240-848-7074",
            "fax_number": "240-848-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15245 SHADY GROVE RD STE 260",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503222",
            "telephone_number": "240-848-7074",
            "fax_number": "240-848-7075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Hamill Rd Ste 266",
            "address_2": "Quadrangle South",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212101894",
            "country_code": "US",
            "telephone_number": "410-435-8400",
            "fax_number": "410-435-6486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALL",
        "first_name": "BANAFSHEH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-27",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "14676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Baldwin
• Remona Baldwin
• Valencia Baldwin
• Megan Bales-Henry
• Dillon D Balkin
• Kim Michele Ball, LCSW-C
• Karina Balladares-Santos
• Shannon Ballard
• Stephanie Ballard
• Andreina Ballon

• Pediatric Dentistry in Rockville, MD
• Providers in Rockville, MD by specialty
• Pediatric Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; 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.