Baltazar Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BALTAZAR DENTAL LLC

Doing business as

Baltazar Dental

Practice address

7 Hadley St Ste 9
South Hadley, MA 01075-1058

Phone

(413) 538-7546

NPI assigned

Oct 30, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Felicia Baltazar, DDSNPI 1477047843

Title

Owner

Phone

(413) 538-7546

Specialties & licenses 1

Addresses

Other names 1

• Baltazar Dental Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Felicia Baltazar, DDS

  • General Practice Dentistry
  • South Hadley, MA
  • NPI 1477047843
  NPD Authorized official
• John Arthur Kellogg, DDS

  • General Practice Dentistry
  • South Hadley, MA
  • NPI 1679694954
  NPD (past)

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604016000000",
    "number": "1891395562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 GULF RD",
            "city": "BELCHERTOWN",
            "state": "MA",
            "postal_code": "010079353",
            "telephone_number": "413-262-9534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 HADLEY ST STE 9",
            "city": "SOUTH HADLEY",
            "state": "MA",
            "postal_code": "010751058",
            "telephone_number": "413-538-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALTAZAR DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-30",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A",
        "authorized_official_last_name": "BALTAZAR",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-538-7546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baltazar Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paula M Arends, LICSW
• Kathleen J Arnold, BS NUTRITION
• Elizabeth Gallup Atkins, OTR/L
• Marcos Anthony Babilonia, RPH
• Balanced Healing & Therapy LLC
• Felicia Baltazar, DDS
• Sarah Baptiste
• Samantha Marie Barcome, FNP-C
• Colleen Rosemarie Barker, FNP-C
• Jessica Barnes

• General Practice Dentistry in South Hadley, MA
• Providers in South Hadley, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.