Michael Baleno

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

054808 Issued in NY

Practice address

1950 S Clinton Ave
Rochester, NY 14618

Phone

(585) 461-4350

NPI assigned

Jul 13, 2007

Last updated

Aug 8, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elmwood Dental Group - Family, PC

  • General Practice Dentistry
  • Rochester, NY
  • NPI 1861748055
  NPD (past)
• Advanced Dental Care of Mt Dora P.a.

  • Dentist
  • Mount Dora, FL
  • NPI 1093849937
  NPD (past)

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533686400000",
    "number": "1952500514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 S CLINTON AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185620",
            "telephone_number": "585-461-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 S CLINTON AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14618",
            "telephone_number": "585-461-4350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3555 N Highway 19A",
            "address_purpose": "LOCATION",
            "city": "Mount Dora",
            "state": "FL",
            "postal_code": "327575301",
            "country_code": "US",
            "telephone_number": "352-383-7146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALENO",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-13",
        "last_updated": "2018-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "18117",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "054808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyrstin Baldino, RN
• Elizabeth Beckram Baldwin, DO
• Sybil Baldwin, LCSW-R
• Teresa Marie Baldwin
• Raman Baldzizhar
• Lisa Balistreri
• Rishi Balkissoon, MD
• Unique Balkum
• Hannah Ball
• Megan Elizabeth Ball, RN, IBCLC

• General Practice Dentistry in Rochester, NY
• Providers in Rochester, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; 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.