Ronald Steven Ballback, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24743 Issued in CA

Practice address

217 Marine Ave Ste a
Newport Beach, CA 92662-1289

Phone

(949) 673-6720

Fax

(949) 673-6682

NPI assigned

May 22, 2007

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

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.

• Kronquist Dental Partnership

  • Dentist
  • Newport Beach, CA
  • NPI 1518760065
  NPD (past)
• Stephen G Alfano DDS Inc

  • Dentist
  • Newport Beach, CA
  • NPI 1508319229
  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851500896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 MARINE AVE STE A",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926621289",
            "telephone_number": "949-673-6720",
            "fax_number": "949-673-6682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 MARINE AVE STE A",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926621289",
            "telephone_number": "949-673-6720",
            "fax_number": "949-673-6682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLBACK",
        "first_name": "RONALD",
        "middle_name": "STEVEN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "24743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Ball
• Julia T Ballain, AUD
• Rachel Ballantyne, NP
• Jennifer Marie Ballard-Hernandez, NP
• Elisha Daniel Ballard
• Beth Ellen Ballinger, O.D., F.C.O.V.D.
• Rita Balyan
• Daniel S. Bandari, M.D.
• Amy T Bandy, D.O.
• Hochong Bang

• General Practice Dentistry in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• General Practice Dentistry in California

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.