Individual provider Active NPI

Edward B Ballow, DPM

  • Podiatrist
  • Denver, CO
National Provider Identifier
1871592477
Registry record updated Jun 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
337 Issued in CO
Practice address
3525 S Tamarac Dr
Suite 300
Denver, CO 80237-1419
Phone
(303) 758-9031
Fax
(303) 758-7643
NPI assigned
Jul 18, 2005
Last updated
Jun 3, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 337 CO Primary

Addresses

Primary practice location

3525 S Tamarac Dr
Suite 300
Denver, CO 80237-1419

Mailing address

3525 S Tamarac Dr
Suite 300
Denver, CO 80237-1419
Phone (303) 758-9031

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nassau Advanced Foot & Ankle, a Professional Limited Liability Company Past Accepting new patients
Boulder Valley Foot & Ankle Clinic PC PastSince Jan 17, 2021 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10978/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370217600000",
    "number": "1871592477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 S TAMARAC DR",
            "address_2": "SUITE 300",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802371419",
            "telephone_number": "303-758-9031",
            "fax_number": "303-758-7643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 S TAMARAC DR",
            "address_2": "SUITE 300",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802371419",
            "telephone_number": "303-758-9031",
            "fax_number": "303-758-7643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLOW",
        "first_name": "EDWARD",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2013-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CO",
            "license": "337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.