Jasdeep Bal, RDAEF

Primary specialty

Dental AssistantTaxonomy code 126800000X

License

AEF841 Issued in CA

Practice address

5959 Greenback LN Ste 110
Citrus Heights, CA 95621-4700

Phone

(916) 723-4777

NPI assigned

Jan 17, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Bal Dental Inc

  • General Practice Dentistry
  • Citrus Heights, CA
  • NPI 1144552043
  NPD (past)

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1801360334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 GREENBACK LN STE 110",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956214700",
            "telephone_number": "916-723-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 GREENBACK LN STE 110",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956214700",
            "telephone_number": "916-723-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAL",
        "first_name": "JASDEEP",
        "credential": "RDAEF",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-17",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "CA",
            "license": "AEF841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nusirat Bakare, PHARM D
• Karen Monique Baker, M.A.
• Megan Baker
• Bal Dental Inc
• Harsimrat Kaur Bal, DDS
• Danieltroy Frank Balderas
• Brianna Baldwin
• Allissa Bales
• Kristin Claire Ball, AMFT
• Darya Bandalak

• All providers in Citrus Heights, CA
• Dental Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; 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.