Dana Balderrama MD PC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

DANA BALDERRAMA MD PC

Practice address

1945 Mesquite Ave Ste D
Lake Havasu City, AZ 86403-5889

Phone

(928) 453-9487

Fax

(928) 453-9562

NPI assigned

Aug 11, 2006

Last updated

Nov 8, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dana S Balderrama, MD

Title

Owner

Phone

(928) 453-9487

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1932110137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 MESQUITE AVE STE D",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035889",
            "telephone_number": "928-453-9487",
            "fax_number": "928-453-9562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 MESQUITE AVE STE D",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035889",
            "telephone_number": "928-453-9487",
            "fax_number": "928-453-9562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANA BALDERRAMA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "BALDERRAMA",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-453-9487",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Cutchall, MSW
• Nancy Jean Czarnecky, R.PH.
• Nael Dagstani, NMD
• Ali Noori Daham, DDS
• Cheryl Ann Dameron, PTA
• Maame Ampomah Dankwah, MD, MPH
• Rachelle Renee Davidhizar, MSW
• Greg C. Davis, D.C.
• Michele L Davis, MSW
• Kyle Denman, PAC

• Plastic Surgery Physician in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Plastic Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.