Matthew Balasco, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

30-023228 Issued in OH

Practice address

1525 Election House Rd NW
Lancaster, OH 43130-9041

Phone

(740) 687-5900

NPI assigned

Jul 14, 2011

Last updated

Sep 11, 2023By the provider in NPPES

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 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alven L. Herstig, DDS, Inc.

  • Endodontics
  • Columbus, OH
  • NPI 1891904843
  NPD (past)

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1760770473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 ELECTION HOUSE RD NW",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431309041",
            "telephone_number": "740-687-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 ELECTION HOUSE RD NW",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431309041",
            "telephone_number": "740-687-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALASCO",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-14",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "OH",
            "license": "30-023228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Ann Baker, LPN
• Meredith Leigh Baker, COTA/L
• Randall Baker
• Raymond E Baker III
• Scott R Baker, M.D.
• Mary Beth Barbush-Kirila, LPCC
• Delores Ellen Bardales, MSN, APRN-BC
• Richard M Bardales, M.D.
• Terry Douglas Barkley
• Stephen Barnett

• Endodontics in Lancaster, OH
• Providers in Lancaster, OH by specialty
• Endodontics in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.