JOSEPH D. BALLENGER JR. DDS PA (NPI# 1457546798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457546798 |
| Entity Type | Organization |
| Organization Name | JOSEPH D. BALLENGER JR. DDS PA |
| Practice Address |
339 W Iowa Ave Nampa ID 83686-2856 |
| Practice Telephone | 2084671227 |
| Practice Fax Number | 2084671299 |
| Mailing Telephone | 2084671227 |
| Mailing Fax Number | 2084671299 |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2008-02-26 |
| Authorized Official Name | DR. JOSEPH DAVID BALLENGER JR. (OWNER) |
| Authorized Official Telephone | 2084671227 |
| Authorized Official Credential | DDS PA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
D-2042-OS | ID | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 805475200 | 05 | |
| ID | 0026640000 | 05 |
| Street Address |
339 W IOWA AVE |
| City | NAMPA |
| State | ID |
| Zip Code | 83686-2856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598773749 | Joseph David Ballenger Jr. | Dentist | 339 W Iowa Ave, Nampa, ID 83686-2856 | 2006-08-04 |
| 1043323843 | Alan Royce Pearce | Dentist | 339 W Iowa Ave, Nampa, ID 83686-2856 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184255960 | Kristine Lynn Fitts-eisenbrandt | Social Worker | 270 W. Gerogia Ave., Nampa, ID 83686 | 2020-01-30 |
| 1669025706 | Vitality Family Chiropractic, Pllc | Chiropractor | 3189 E Greenhurst Rd, Nampa, ID 83686 | 2019-07-18 |
| 1871150185 | King's Peak Investments, Inc. | Substance Abuse Rehabilitation Facility | 8898 Idaho 45, Nampa, ID 83686 | 2019-05-22 |
| 1154805786 | Jmj Nampa LLC | Dentist | 914 12th Ave Rd, Nampa, ID 83686 | 2018-09-19 |
| 1518448703 | Michel Cox | Pharmacy Technician | 2219 12th Ave S, Nampa, ID 83686 | 2018-08-24 |
| 1437504909 | 5 Peppers Inc | Family Medicine | 217 W. Georgia Ave. Ste 120, Nampa, ID 83686 | 2016-05-03 |
| 1811369549 | Anna Stoia | Physician Assistant | 4401 E. Tuscany Ave., Nampa, ID 83686 | 2015-10-21 |
| 1144699307 | Jamie Green | Social Worker | 112 12th Avenue Rd., Nampa, ID 83686 | 2015-09-17 |
| 1174927933 | Bower Chiropractic Inc | Chiropractor | 304 12th Ave Rd, Nampa, ID 83686 | 2014-10-22 |
| 1285037093 | Rosemary Phelps | Registered Nurse | 353 W. Iowa, Nampa, ID 83686 | 2014-10-07 |
| Find all providers in zip 83686 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487910733 | Timothy Tracy O'brien | Dentist | 1613 12th Ave Rd Ste A, Nampa, ID 83686-6183 | 2012-04-11 |
| 1598773749 | Joseph David Ballenger Jr. | Dentist | 339 W Iowa Ave, Nampa, ID 83686-2856 | 2006-08-04 |
| 1093907610 | John Paul Malan | Dentist | 1613 12th Ave Rd, Suite A, Nampa, ID 83686-7714 | 2007-08-16 |
| 1043323843 | Alan Royce Pearce | Dentist | 339 W Iowa Ave, Nampa, ID 83686-2856 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710364427 | Gates Dentistry, Pllc | Dentist | 2165 N. Merritt Creek Loop, Coeur D Alene, ID 83814 | 2015-05-01 |
| 1124433743 | Arman Haghighi | Dentist | 403 S 11th St Ste 300, Boise, ID 83702-6968 | 2014-06-23 |
| 1003242769 | Dewayne Laverne Briscoe | Dentist | 404 Fairway Loop, Sun Valley, ID 83353 | 2013-09-25 |
| 1013274661 | Treasure Valley Oral and Facial Surgery Pllc | Dentist | 1000 N. Curtis Rd, Suite 103, Boise, ID 83706 | 2012-04-20 |
| 1023398716 | Coeur D' Alene Oral Surgery | Dentist | 1027 E Sherman Ave, Coeur D Alene, ID 83814-4152 | 2011-08-25 |
| 1861645202 | Michael Verlyn Dabell | Dentist | 1550 N Crestmont Dr Ste G, Meridian, ID 83642-2177 | 2008-10-29 |
| 1295993145 | Stephen W Holm | Dentist | 3326 4th St Ste 2, Lewiston, ID 83501-4455 | 2008-05-28 |
| 1376689646 | Timothy Ted Hopkins | Dentist | 590 Falls Ave, Twin Falls, ID 83301-3314 | 2007-01-30 |
| 1851450498 | Donald Edwin Spengler | Dentist | 400 S Main Street, Hailey, ID 83333 | 2006-12-08 |
| 1184798811 | Mark Ensio Baker | Dentist | 165 N 14th Ave, Pocatello, ID 83201-4146 | 2006-11-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.