Individual provider Active NPI

Pierluigi Balice, DDS, MDENTSC

  • Periodontics
  • Kansas City, MO
National Provider Identifier
1861877227
Registry record updated Dec 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
2018043096 Issued in MO
Practice address
650 E 25TH St # 277
Kansas City, MO 64108-2716
Phone
(816) 235-2121
NPI assigned
Jul 28, 2015
Last updated
Dec 13, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 2018043096 MO Primary

Addresses

Primary practice location

650 E 25TH St # 277
Kansas City, MO 64108-2716

Mailing address

1444 Grand Blvd Apt 2014
Kansas City, MO 64106-2986
Phone (860) 957-7656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2018043096MOMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Curators University of Missouri Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544659200000",
    "number": "1861877227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 GRAND BLVD APT 2014",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641062986",
            "telephone_number": "860-957-7656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 E 25TH ST # 277",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082716",
            "telephone_number": "816-235-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALICE",
        "first_name": "PIERLUIGI",
        "credential": "DDS, MDENTSC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-28",
        "last_updated": "2018-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MO",
            "license": "2018043096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.