DR. JAMES JEFFERY BALDI (NPI# 1306889555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306889555 |
| Entity Type | Individual |
| Full Name | DR. JAMES JEFFERY BALDI |
| Credential | DDS |
| Practice Address |
3813 N Sterling Ave Peoria IL 61615-4230 |
| Mailing Address |
2400 Veterans Rd Morton IL 61550-9594 |
| Practice Telephone | 3096866400 |
| Mailing Telephone | 3092632748 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
IL | Dental Providers |
| Street Address |
3813 N STERLING AVE |
| City | PEORIA |
| State | IL |
| Zip Code | 61615-4230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627906 | Lance Jay Bucher | Occupational Therapist | 8600 Il-91, Peoria, IL 61615 | 2020-10-22 |
| 1093327496 | Angela Mitchell | Speech-Language Pathologist | 3903 W Ridgeview Dr, Peoria, IL 61615 | 2020-08-18 |
| 1578110680 | Emily E Buenting | Audiologist | 8600 Il Route 91, Suite 300, Peoria, IL 61615 | 2019-08-22 |
| 1730655572 | Sylwia M. Budzik | Physician Assistant | 8600 Illinois Rt. 91, Suite 300, Peoria, IL 61615 | 2018-10-19 |
| 1487169207 | Heather Hart | Registered Nurse | 9016 N. Scrimshaw Dr. Apt 104, Peoria, IL 61615 | 2017-12-04 |
| 1528586849 | Leanne Runyon | Speech-Language Pathologist | 10723 Collett Dr., Peoria, IL 61615 | 2017-09-07 |
| 1467974196 | Elizabeth A Mcleod | Nurse Practitioner | 8600 Illinois Route 91, Suite 130, Peoria, IL 61615 | 2017-07-14 |
| 1790223022 | Janet Warner | Counselor | 8914 North Prarie Court, Peoria, IL 61615 | 2017-02-07 |
| 1437524022 | Brooke Bisping | Dietitian, Registered | 7610 North Orange Prairie Road, Peoria, IL 61615 | 2015-12-08 |
| 1003292111 | Crystal Ann Casper | Dietitian, Registered | 7610 N Orange Prarie Road, Peoria, IL 61615 | 2015-07-31 |
| Find all providers in zip 61615 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083926992 | Nathan John Hinckley | Dentist | 8085 W Bell Rd Ste 103, Peoria, AZ 85382-3825 | 2010-07-08 |
| 1275606592 | John B. Dale, Dmd, Ms, P.C. | Dentist | 7314 N Willow Lake Ct, Suite A, Peoria, IL 61614-8277 | 2006-11-16 |
| 1760567291 | Scott William Pace | Dentist | 7972 W Thunderbird Rd Ste 103, Peoria, AZ 85381-4903 | 2006-10-25 |
| 1437124278 | Spencer W Crook | Dentist | 7972 W Thunderbird Rd, Suite #103, Peoria, AZ 85381-4903 | 2006-02-22 |
| 1508868209 | Ldj Endodontics, Ltd | Dentist | 8632 W Clara Ln, Peoria, AZ 85382-1429 | 2005-08-12 |
| 1962818633 | Cody Heslington | Dentist | 14155 N 83rd Ave, Suite 7-141, Peoria, AZ 85381-5639 | 2014-07-02 |
| 1700158227 | John B. Dale | Dentist | 7314 N Willow Lake Ct, Suite A, Peoria, IL 61614-8277 | 2012-01-30 |
| 1346579240 | Katherine A. Kuntz-jakuc | Dentist | 6901 N Knoxville Ave, Suite 100, Peoria, IL 61614 | 2009-12-24 |
| 1740515691 | Sunset Endodontics, Ltd. | Dentist | 8632 W Clara Ln, Peoria, AZ 85382-1429 | 2009-10-10 |
| 1629289491 | Northwest Endodontics | Dentist | 7972 W Thunderbird Rd, Suite 103, Peoria, AZ 85381-4903 | 2007-05-24 |
| Find all providers in PEORIA | ||||
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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.