Individual provider Active NPI

Brittany Kaye Ballard, DMD

  • General Practice Dentistry
  • Fort Collins, CO
National Provider Identifier
1861947087
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN.00202937 Issued in CO
Practice address
1927 Wilmington Dr Unit 202
Fort Collins, CO 80528-6102
Phone
(970) 484-4850
NPI assigned
Aug 17, 2016
Last updated
Jul 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DEN.00202937 CO Primary

Addresses

Primary practice location

1927 Wilmington Dr Unit 202
Fort Collins, CO 80528-6102

Mailing address

1927 Wilmington Dr Unit 202
Fort Collins, CO 80528-6102
Phone (970) 484-4850

Other names 1

  • Dr. Brittany Kaye Corley Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170308000411 CO Order and Referring Only - DentistPractitioner - Dentist 3779867973

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DEN.00202937COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Allison Jung Family Dentistry, PLLC CurrentSince Aug 4, 2024 Accepting new patients
Benchmark Dental of Colorado, PC General Practice Past Accepting new patients

Locations

1927 Wilmington Dr
Unit 202
Fort Collins, CO 80528
Phone (970) 484-4850

Organizations & group practices 2

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": "1471392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1861947087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1927 WILMINGTON DR UNIT 202",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805286102",
            "telephone_number": "970-484-4850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1927 WILMINGTON DR UNIT 202",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805286102",
            "telephone_number": "970-484-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "BRITTANY",
        "middle_name": "KAYE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-17",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00202937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "CORLEY",
            "middle_name": "KAYE",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.