TIFFANY BALLARD (NPI# 1861034076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861034076 |
| Entity Type | Individual |
| Full Name | TIFFANY BALLARD |
| Credential | LDH |
| Practice Address |
3229 Broadway Ste 115 Gary IN 46409-1040 |
| Mailing Address |
2673 W 86th Ave Merrillville IN 46410-6948 |
| Practice Telephone | 2198063000 |
| Mailing Telephone | 3176299014 |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2019-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 13007024A | IN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871812438 | Tiffany Ballard | Plastic Surgery | 2300 Washtenaw Ave Ste 100, Ann Arbor, MI 48104-4500 | 2010-05-21 |
| 1609819317 | Tiffany Eilers Ballard | Psychiatry & Neurology | 1600 W. 38th St. #321, Austin, TX 78731 | 2006-06-13 |
| 1134617277 | Tiffany Ballard | Licensed Practical Nurse | 1111 E End Blvd, Wilkes Barre, PA 18711-0030 | 2018-04-24 |
| 1154715738 | Tiffany Ballard | Registered Nurse | 2250 Wehrle Dr, Suite 1, Williamsville, NY 14221-7034 | 2015-03-23 |
| Street Address |
3229 BROADWAY STE 115 |
| City | GARY |
| State | IN |
| Zip Code | 46409-1040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023485356 | Porter-starke Services Inc. | Clinic/Center | 3229 Broadway Ste 115, Gary, IN 46409-1040 | 2015-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316027998 | Nhi Home Base Service Corp. | Clinic/Center | 4795 Broadway, Gary, IN 46409 | 2006-10-17 |
| 1164891404 | Megan Burgess | Counselor | 4795 Broadway, Gary, IN 46409 | 2015-09-16 |
| 1366677213 | Merideth Krashonda Owens | Counselor | 4795 Broadway, Gary, IN 46409 | 2009-05-21 |
| 1548530439 | Sibis Counseling Center LLC | Counselor | 3195 Broadway Lowr Level, Gary, IN 46409-1006 | 2012-01-09 |
| 1750303343 | Adolphus A Anekwe | Specialist | 3195 Broadway, Gary, IN 46409-1006 | 2006-07-24 |
| 1215219084 | Broadway Dental Services | Dentist | 3195 Broadway, Gary, IN 46409-1006 | 2011-09-16 |
| 1528392156 | Tonya A. Harvey | Nurse Practitioner | 3195 Broadway, Gary, IN 46409-1006 | 2009-09-29 |
| 1629196761 | Broadway Medical Corporation, PC | Specialist | 3195 Broadway, Gary, IN 46409-1006 | 2007-03-27 |
| 1023166758 | Frank Edward Pate | Dentist | 3195 Broadway, Gary, IN 46409-1006 | 2007-01-08 |
| 1528173853 | Edwin Kenneth Mcdonald IIi | Dentist | 3195 Broadway, Gary, IN 46409-1006 | 2006-08-19 |
| Find all providers in zip 46409 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730670639 | Kathleen Mcmannes | Dental Hygienist | 4629 Melton Rd, Gary, IN 46403-2866 | 2018-05-25 |
| 1558528554 | Cristie D Hatfield | Dental Hygienist | Route 103 Supply St, Gary, WV 24836 | 2008-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702828 | Oleg Borisyuk | Dental Hygienist | 804 S Green River Rd, Evansville, IN 47715-4106 | 2020-08-28 |
| 1578182309 | Carrie Striplin | Dental Hygienist | 6420 Sunset Ln, Indianapolis, IN 46260-4633 | 2020-04-12 |
| 1154979458 | Courtney Huffman | Dental Hygienist | 2709 Washington Ave Ste 2, Evansville, IN 47714-2412 | 2019-08-29 |
| 1972061562 | Jaime L Kinsey | Dental Hygienist | 4952 W 500 N, Wabash, IN 46992-9017 | 2019-03-04 |
| 1144708512 | Toni Leigh Szabo | Dental Hygienist | 14700 Carrigan Ct, Granger, IN 46530-4224 | 2018-07-29 |
| 1669964581 | Lisa A Greene | Dental Hygienist | Conservative Dental Solutions, 101 N Cross Street, Waveland, IN 47989 | 2018-06-06 |
| 1699298471 | Stacy Lynn Lashenik | Dental Hygienist | 7101 E Lincoln Hwy, Crown Point, IN 46307-8821 | 2017-07-24 |
| 1861871170 | Mercy Seat Dentistry | Dental Hygienist | 2155 Commerce Drive, Bluffton, IN 46714 | 2015-05-20 |
| 1992118426 | Lynnette Martin-richey | Dental Hygienist | 1453 Flagstone Dr, Dyer, IN 46311-2294 | 2014-06-02 |
| 1518112929 | Joyce Marie Applegate | Dental Hygienist | 809 South Indiana Avenue, Sellersburg, IN 47172 | 2008-11-26 |
| 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.