Nasem Ballo

Primary specialty

DentistTaxonomy code 122300000X

License

2901021669 Issued in MI

Practice address

3890 Dixie Hwy
Suite #1a
Saginaw, MI 48601-4201

Phone

(989) 777-4880

NPI assigned

Jul 16, 2015

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 MI

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ballo DDS PC

  • Dental Clinic/Center
  • Warren, MI
  • NPI 1174135149
  NPD Authorized official
• Dental Dreams PLLC

  • General Practice Dentistry
  • Saginaw, MI
  • NPI 1205117041
  NPD (past)

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1922482397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N CLARK ST",
            "address_2": "STE 600",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606544712",
            "telephone_number": "312-274-4526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890 DIXIE HWY",
            "address_2": "SUITE #1A",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486014201",
            "telephone_number": "989-777-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLO",
        "first_name": "NASEM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901021669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Sue Ball, N.P.
• Yashi Ballal, MEDICAL STUDENT
• Madison Ballard
• Rayneigh Ballesteros
• Emily Ballien
• Ramy Ballout, MD
• Mehdi H Baluch, MD
• Heather Anne Balzer, PHARM.D.
• Kathryn Balzer, RPH
• Chad Christian Bambrick, M.D.

• Dentist in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.