Stephen W. Ballard, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

105813 Issued in CO

Practice address

2998 Ginnala Dr
Suite 101
Loveland, CO 80538-7819

Phone

(970) 669-1236

Fax

(970) 622-8521

NPI assigned

Jul 7, 2006

Last updated

Jul 8, 2007By 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

Medicare fee-for-service enrollment

Enrolled in CO

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

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861424848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2998 GINNALA DR",
            "address_2": "SUITE 101",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805387819",
            "telephone_number": "970-669-1236",
            "fax_number": "970-622-8521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2998 GINNALA DR",
            "address_2": "SUITE 101",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805387819",
            "telephone_number": "970-669-1236",
            "fax_number": "970-622-8521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "STEPHEN",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "105813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Baldwin
• Meredith Lenney Bales, AGPCNP-BC
• Francis J Balestrieri, M.D.
• Benjamin Ball, DPT
• Wendell L Ball, D.C.
• Philip Ballenski, PA
• Joseph Ballent
• Susan Ballinger, MA
• Bianca Balogh, RN, BSN, IBCLC
• Srinivas Bandi, MD

• General Practice Dentistry in Loveland, CO
• Providers in Loveland, CO by specialty
• General Practice Dentistry in Colorado

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

Verify at the official NPI Registry.