Organization Active NPI

Kenneth G. Ballard, D.O., P.a.

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1780907188
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D1386 Issued in TX
Legal business name
KENNETH G. BALLARD, D.O., P.A.
Practice address
1318 Telephone Rd
Houston, TX 77023-3631
Phone
(713) 923-1866
Fax
(713) 923-4031
NPI assigned
Mar 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Kenneth George Ballard, D.O.
Title
Physician
Phone
(713) 923-1866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X D1386 TX Primary

Addresses

Primary practice location

1318 Telephone Rd
Houston, TX 77023-3631

Mailing address

1318 Telephone Rd
Houston, TX 77023-3631
Phone (713) 923-1866

National Provider Directory

National Provider Directory

Locations

1318 Telephone Rd
Houston, TX 77023
Phone (713) 923-1866

NPI Registry JSON

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

{
    "created_epoch": "1268352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1780907188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 TELEPHONE RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770233631",
            "telephone_number": "713-923-1866",
            "fax_number": "713-923-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 TELEPHONE RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770233631",
            "telephone_number": "713-923-1866",
            "fax_number": "713-923-4031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH G. BALLARD, D.O., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-12",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BALLARD",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "713-923-1866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "D1386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.