Individual provider Active NPI

Nathera Balachandran, D.D.S.

  • Dentist
  • Lancaster, CA
National Provider Identifier
1801063763
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
56978 Issued in CA
Practice address
3640 Kim CT
Lancaster, CA 93536-6208
Phone
(734) 846-1900
NPI assigned
May 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 56978 CA Primary

Addresses

Primary practice location

3640 Kim CT
Lancaster, CA 93536-6208

Mailing address

3640 Kim CT
Lancaster, CA 93536-6208
Phone (734) 846-1900

Other names 1

  • Dr. Nadia Bala Other name

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
I20151113000745 CA Order and Referring Only - DentistPractitioner - Dentist 7719297126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
56978CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210291200000",
    "number": "1801063763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 KIM CT",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935366208",
            "telephone_number": "734-846-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 KIM CT",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935366208",
            "telephone_number": "734-846-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALACHANDRAN",
        "first_name": "NATHERA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-09",
        "last_updated": "2008-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "56978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NADIA",
            "last_name": "BALA",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.