DR. ANDREW RICHARD BALLIN (NPI# 1891869293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891869293 |
| Entity Type | Individual |
| Full Name | DR. ANDREW RICHARD BALLIN |
| Credential | DDS |
| Practice Address |
6053 Nicollet Ave Minneapolis MN 55419-2558 |
| Practice Telephone | 6128663665 |
| Practice Fax Number | 6128669461 |
| Mailing Telephone | 6128663665 |
| Mailing Fax Number | 6128669461 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
D7932 | MN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICA MEDICAL | 8614783 | 01 |
| MN | BLUE CROSS BLUE SHIELD | 74230BA | 01 |
| Street Address |
6053 NICOLLET AVE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55419-2558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861032054 | David Gregg | Internal Medicine | 5305 Humboldt Ave S, Minneapolis, MN 55419 | 2020-01-15 |
| 1972020329 | Michael Daly | Marriage & Family Therapist | 5413 Nicollet Ave # 152, Minneapolis, MN 55419 | 2017-08-26 |
| 1518343946 | Samantha Ruth Praus | Counselor | Wellness Minneapolis, 4450 Nicollet Ave. S., Minneapolis, MN 55419 | 2015-08-07 |
| 1679919104 | Morgan Supinski | Occupational Therapist | 5748 Clinton Ave, Minneapolis, MN 55419 | 2013-05-10 |
| 1720358021 | Jeremy Zellmann | Pharmacist | 6001 Mogan Avenue South, Minneapolis, MN 55419 | 2012-01-04 |
| 1003108895 | Nicollet Dental | Dentist | 6101 Nicollet Ave. So., Minneapolis, MN 55419 | 2011-05-11 |
| 1194056812 | Laura J. Johnson | Social Worker | 410 E 48th St Ste 2, Minneapolis, MN 55419 | 2010-01-20 |
| 1992934392 | Morningsong Therapy Center Inc | Clinic/Center | 25 W. Diamond Lake Road, Minneapolis, MN 55419 | 2009-07-07 |
| 1619118775 | Dr. David Mckay, Dds LLC | Dentist | 4800 Nicollet Ave. S., Minneapolis, MN 55419 | 2009-03-18 |
| 1750553343 | Alex B Lanning | Chiropractor | 5415 Nicollet Ave, Minneapolis, MN 55419 | 2008-03-24 |
| Find all providers in zip 55419 | ||||
| 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 |
|---|---|---|---|---|
| 1982213237 | Yue Hu | Dentist | 515 Delaware St. Se Malcolm Moos Health Sciences Tower, Room 7-174, Minneapolis, MN 55455 | 2020-07-23 |
| 1285294611 | Brian Michael Laing | Dentist | 7-147 Moos Health Science Tower, 515 Delaware Street S.e., Minneapolis, MN 55455-0357 | 2019-06-18 |
| 1205366002 | Derek Miller | Dentist | 7-174 Moos Tower 515 Delaware St. S, U of M Oral Surgery, Minneapolis, MN 55455 | 2017-06-14 |
| 1114154143 | Reda Taleb | Dentist | 7-174 Moos Tower, 515 Delaware St Se, Minneapolis, MN 55455 | 2009-06-17 |
| 1740353564 | Daniel A Larson | Dentist | 515 Delaware St Ne, 7th Floor Moos Tower, Minneapolis, MN 55455-0329 | 2006-11-17 |
| 1881620771 | Robert Allan Nadeau | Dentist | 515 Delaware St. Se, 7-174d Malcolm Moos Tower, Minneapolis, MN 55455 | 2006-06-23 |
| 1699745323 | Paul Christopher Tompach | Dentist | 515 Delaware Street Se, 7-174 Moos Health Sciences Tower, Minneapolis, MN 55455 | 2006-01-25 |
| 1922623834 | Mohammad Mujtaba Methani | Dentist | 515 Delaware Street Se, Moos Health Science Tower, Minneapolis, MN 55455 | 2020-06-16 |
| 1073013025 | Krista Primley | Dentist | 515 Delaware St Se, Minneapolis, MN 55455 | 2018-02-16 |
| 1215388061 | Aarathi Rao | Dentist | 515 Delaware Street Se, 7-174 Moos Health Science Tower, Minneapolis, MN 55455-0329 | 2016-06-23 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55419 |
Please comment or provide details below to improve the information on DR. ANDREW RICHARD BALLIN.
| 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.