Active NPI
Rebekah Ballard, DDS
- General Practice Dentistry
- Laguna Beach, CA
National Provider Identifier
1790895837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 47448
- Practice address
- 31796 Coast Hwy
Laguna Beach, CA 92651-6974 - Phone
- (949) 415-1020
- Fax
- (949) 415-1030
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 47448 | CA | Primary |
Addresses
Primary practice location
31796 Coast Hwy
Laguna Beach, CA 92651-6974
Mailing address
2860 Michelle
2ND Floor
Irvine, CA 92606-1009
Phone (714) 508-3600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47448 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vtnguyen Endodontics PC | Past | Accepting new patients | |
| Buehler Dental Corporation | General Practice | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Laguna Beach, CA
- NPI 1942303821
-
- Endodontics
- Laguna Beach, CA
- NPI 1841625514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790895837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2860 MICHELLE",
"address_2": "2ND FLOOR",
"city": "IRVINE",
"state": "CA",
"postal_code": "926061009",
"telephone_number": "714-508-3600",
"fax_number": "714-368-2092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31796 COAST HWY",
"city": "LAGUNA BEACH",
"state": "CA",
"postal_code": "926516974",
"telephone_number": "949-415-1020",
"fax_number": "949-415-1030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLARD",
"first_name": "REBEKAH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "47448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laguna Beach, CA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.