David J Balestrini, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

046292-1 Issued in NY

Practice address

2358 Saranac Ave
Lake Placid, NY 12946-3379

Phone

(518) 523-2406

Fax

(518) 523-3045

NPI assigned

Nov 6, 2006

Last updated

Jul 8, 2007By 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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 19, 2017 through Jan 19, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831268986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2358 SARANAC AVE",
            "city": "LAKE PLACID",
            "state": "NY",
            "postal_code": "129463379",
            "telephone_number": "518-523-2406",
            "fax_number": "518-523-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2358 SARANAC AVE",
            "city": "LAKE PLACID",
            "state": "NY",
            "postal_code": "129463379",
            "telephone_number": "518-523-2406",
            "fax_number": "518-523-3045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALESTRINI",
        "first_name": "DAVID",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046292-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Marie Anello, COTA
• Charles Angelopoulos, ATC
• Stuart John Baird IV
• Carol Baker
• Alexander Baldwin
• Elizabeth Bartos, M.D.
• Beth Brunner, DMD, PLLC (Lake Placid Oral Surgery)
• Molly Breen, OTR/L
• Beth Brunner, DMD, MD, PLLC
• Daniel P Bullock, MD

• General Practice Dentistry in Lake Placid, NY
• Providers in Lake Placid, NY by specialty
• General Practice Dentistry in New York

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.