Individual provider Active NPI

Harvey Michael Balch, DDS

  • General Practice Dentistry
  • Wheatland, CA
National Provider Identifier
1780890665
Registry record updated Jul 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19999 Issued in CA
Practice address
400 Front St
Wheatland, CA 95692-9442
Phone
(530) 633-2865
Fax
(530) 633-9491
NPI assigned
May 15, 2007
Last updated
Jul 31, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 19999 CA Primary

Addresses

Primary practice location

400 Front St
Wheatland, CA 95692-9442

Mailing address

400 Front St
Wheatland, CA 95692-9442
Phone (530) 633-2865

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20171011003715 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5698040913

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19999CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501459200000",
    "number": "1780890665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 FRONT ST",
            "city": "WHEATLAND",
            "state": "CA",
            "postal_code": "956929442",
            "telephone_number": "530-633-2865",
            "fax_number": "530-633-9491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 FRONT ST",
            "city": "WHEATLAND",
            "state": "CA",
            "postal_code": "956929442",
            "telephone_number": "530-633-2865",
            "fax_number": "530-633-9491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALCH",
        "first_name": "HARVEY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2017-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "19999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheatland, CA

Sources for this page

Verify at the official NPI Registry.