Krishnan R Bala, D D S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

AZ2627 Issued in AZ

Practice address

10503 W Thunderbird Blvd
309
Sun City, AZ 85351-3022

Phone

(623) 977-6402

Fax

(623) 977-9521

NPI assigned

May 14, 2007

Last updated

Sep 15, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Krishnan R. Bala DDS

  • General Practice Dentistry
  • Sun City, AZ
  • NPI 1487860607
  NPD (past) Authorized official

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473897600000",
    "number": "1811103369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8738 E WHISPERING WIND DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852552892",
            "telephone_number": "480-628-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10503 W THUNDERBIRD BLVD",
            "address_2": "309",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513022",
            "telephone_number": "623-977-6402",
            "fax_number": "623-977-9521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALA",
        "first_name": "KRISHNAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D D S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2016-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "AZ2627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marco A Badillo Almaraz
• Liqun Bai, MD
• Melissa Bailey, MSW, LCSW
• Shanae Jeanette Baines, RN
• Clifford Tsuyoshi Baker, M.D
• Alfonso G. Ballesteros, M.D.
• Banner Arizona Medical Clinic LTD
• Banner Boswell Medical Center (Banner Boswell Rehabilitation Center)
• Banner Boswell Medical Center
• Banner Boswell Medical Center

• General Practice Dentistry in Sun City, AZ
• Providers in Sun City, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.