John Ballouz, DDS
NPI 1609668128 · Student in an Organized Health Care Education/Training Program · Detroit, MI
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
John Ballouz, DDS is a Student in an Organized Health Care Education/Training Program provider in Detroit, MI (NPI 1609668128).
Provider details
- NPI number
- 1609668128
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2901602663 (MI)
Specialties & taxonomies
- Student in an Organized Health Care Education/Training ProgramPrimary390200000XLicense 2901602663 (MI)
Student, Health Care
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-05-20
- Last updated
- 2025-07-15
- Certified
- 2025-07-15
Frequently asked questions
- What is John Ballouz's NPI number?
- John Ballouz's National Provider Identifier (NPI) is 1609668128, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Ballouz's specialty?
- John Ballouz is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is John Ballouz located?
- John Ballouz's practice location on file with NPPES is 2700 Martin Luther King Jr Blvd, Detroit, MI 48208-2576.
- What is John Ballouz's phone number?
- The practice phone number listed in the NPPES registry for John Ballouz is (313) 494-6873.
- Does John Ballouz accept Medicare?
- John Ballouz is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is John Ballouz's NPI active?
- Yes — John Ballouz's NPI (1609668128) is active in the NPPES registry as of the last update on 2025-07-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.