DR. RICHARD BLAKESLEE BALLARD (NPI# 1730275975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730275975 |
| Entity Type | Individual |
| Full Name | DR. RICHARD BLAKESLEE BALLARD |
| Credential | D.D.S. |
| Practice Address |
716 Superior Ave Gladstone MI 49837-1751 |
| Practice Telephone | 9064282321 |
| Practice Fax Number | 9064289499 |
| Mailing Telephone | 9064282321 |
| Mailing Fax Number | 9064289499 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2901008970 | MI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427542000 | Richard Earl Ballard Jr. | Counselor | Site Office: Charles Carroll Ms 6130 Lamont Drive, C/o Ms. Claudia B.-walter, Fbcog- Ceo for Son Rise Cc&i, New Carrollton, MD 20784 | 2018-06-18 |
| 1831533447 | Richard G Ballard | Counselor | 3710 Augusta Rd, C/o Our Lady of The Rosary Church, Greenville, SC 29605-1335 | 2013-04-25 |
| 1740513332 | Richard Newman Ballard | Counselor | 3011 Lexington Rd, Louisville, KY 40206-3005 | 2009-09-14 |
| 1861523532 | Richard W. Ballard | Dentist | 1002 Girod St, Mandeville, LA 70448-3720 | 2007-03-07 |
| 1528122397 | Richard Alan Ballard | Optometrist | 690 Old Hickory Blvd, Ste 101, Brentwood, TN 37027-5460 | 2006-12-19 |
| 1578662375 | Richard A. Ballard | Dentist | 1221 Michigan St, Sandpoint, ID 83864-1745 | 2006-09-21 |
| 1033143938 | Richard Douglas Ballard | Chiropractor | 2312 Knob Creek Rd., Ste 204, Johnson City, TN 37604 | 2006-07-10 |
| 1366739054 | Richard Dane Ballard | Internal Medicine | 499 Gloster Creek Vlg Ste A2, Tupelo, MS 38801 | 2011-07-01 |
| 1053554543 | Richard M Ballard Jr. | Social Worker | 2301 Hampton Ave, Saint Louis, MO 63139-2908 | 2009-04-13 |
| 1073583613 | Richard Ballard | Orthopaedic Surgery | 1200 S Farmerville St, Ruston, LA 71270-5941 | 2006-01-25 |
| Street Address |
716 SUPERIOR AVE |
| City | GLADSTONE |
| State | MI |
| Zip Code | 49837-1751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972660884 | Michael John Ballard | Dentist | 716 Superior Ave, Gladstone, MI 49837-1751 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386140796 | Jenna R Sanderson | Counselor | 2655 Ashmun Street, Sault Ste Marie, MI 49837 | 2018-04-04 |
| 1689995854 | Heather E Demay | Physical Therapist | 2001 Minneapolis Ave., Suite C, Gladstone, MI 49837 | 2010-06-22 |
| 1437273877 | Northwoods Rehabilitation Inc. | Clinic/Center | 2001 Minneapolis Ave Suite C, Gladstone, MI 49837 | 2007-03-19 |
| 1568523850 | Daniel John Howes | Physical Therapist | 116 N 9th Ste, Ste C, Gladstone, MI 49837 | 2006-12-12 |
| 1356359095 | Tiffany L Molinari | Physician Assistant | 2001 Minneapolis Ave, Suite D, Gladstone, MI 49837 | 2006-08-04 |
| 1598852865 | John Wurth Skellenger | Dentist | 1103 Delta Ave, Gladstone, MI 49837-0167 | 2006-10-06 |
| 1750805727 | Kayela S Kuehl | Nurse Practitioner | 145 4th Ave N, Gladstone, MI 49837-1054 | 2017-08-01 |
| 1518093871 | Adult Family & Group Counseling Pllc | Social Worker | 1920 Lake Shore Dr, Memorial United Methodist Church Offices, Gladstone, MI 49837-1249 | 2007-02-23 |
| 1548651037 | Patricia Maynarich | Massage Therapist | 1302 Michigan Ave, Gladstone, MI 49837-1320 | 2015-02-05 |
| 1003277583 | Abigail Flaminio | Specialist/Technologist | 1110 Minnesota Ave, Gladstone, MI 49837-1402 | 2016-03-11 |
| Find all providers in zip 49837 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902447618 | Gladstone Family Dental Associates LLC | Dentist | 2019 Ne 72nd Street, 105, Gladstone, MO 64118 | 2019-10-03 |
| 1033671664 | Megan Jenisch | Dentist | 5601 Ne Antioch Rd Ste 5, Gladstone, MO 64119-2375 | 2019-04-02 |
| 1043623044 | Alan C Fashion | Dentist | 2727 Ne Brooktree Ln, Gladstone, MO 64119-1833 | 2014-06-06 |
| 1104197060 | Scott Timothy Melton | Dentist | 6000 N Oak Trfy Ste 304, Gladstone, MO 64118-5176 | 2012-01-24 |
| 1215235148 | Dennis Thomas Adair | Dentist | 15 82nd Dr, Suite 240, Gladstone, OR 97027-2541 | 2011-03-01 |
| 1104088756 | Dennis T. Adair D.m.d., P.C. | Dentist | 15 82nd Dr Ste 240, Gladstone, OR 97027-2558 | 2008-06-25 |
| 1033379581 | John Reese Graue II | Dentist | 6301 N Oak Trfy Ste 202, Gladstone, MO 64118-4752 | 2008-06-09 |
| 1194912949 | Alan C Fashion, D.d.s., PC | Dentist | 2727 Ne Brooktree Lane, Gladstone, MO 64119-1833 | 2007-09-26 |
| 1427187764 | Bernard Dean Bos | Dentist | 19230 Mcloughlin Blvd, Gladstone, OR 97027-2625 | 2007-03-04 |
| 1821135351 | Stephan Ahmad Ameryun | Dentist | 200 Nw 72nd St, Gladstone, MO 64118-1820 | 2007-02-01 |
| Find all providers in GLADSTONE | ||||
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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.