Carson James Baltazar, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

61854 Issued in KS

Practice address

2951 SW Wanamaker Dr Ste B
Topeka, KS 66614-5320

Phone

(785) 273-0801

Fax

(785) 273-7350

NPI assigned

Jun 11, 2021

Last updated

Jun 11, 2021By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

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  NPD
• Michael E Michel D D S P a

  • General Practice Dentistry
  • Topeka, KS
  • NPI 1710109418
  NPD (past)
• Silver Lake Dental PA

  • General Practice Dentistry
  • Silver Lake, KS
  • NPI 1023963022
  NPD (past)

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1811565427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2951 SW WANAMAKER DR STE B",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666145320",
            "telephone_number": "785-273-0801",
            "fax_number": "785-273-7350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2951 SW WANAMAKER DR STE B",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666145320",
            "telephone_number": "785-273-0801",
            "fax_number": "785-273-7350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Circle Dr",
            "address_purpose": "LOCATION",
            "city": "Silver Lake",
            "state": "KS",
            "postal_code": "665399522",
            "country_code": "US",
            "telephone_number": "785-582-0185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALTAZAR",
        "first_name": "CARSON",
        "middle_name": "JAMES",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-11",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "61854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "micheldds@aspidamail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "2951 SW Wanamaker Dr Ste B",
            "city": "Topeka",
            "state": "KS",
            "country_code": "US",
            "postal_code": "666145320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• James P Balch, PA-C
• Dana S Balderrama, MD
• Gary Brandon Ball
• Nicole Dinay Ball, PMHNP-BC
• Valerie Ann Ball, CPTA
• Danielle L. Balthazor, APRN
• Shannon Lois Baltrusaitis, PHARMD
• Kevin Bamberger, M.D.
• Sydney Banick, PTA
• Christina Alicia Banks, PHARM.D.

• General Practice Dentistry in Topeka, KS
• Providers in Topeka, KS by specialty
• General Practice Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; 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.