DR. PETER ANTHONY BALACKY DDS
NPI 1164881926
Oral & Maxillofacial Surgery in Los Angeles, CA
NPI Status: Active since February 22, 2016
Contact Information
321 N LARCHMONT BLVD STE 613
LOS ANGELES, CA
ZIP 90004
Phone: (323) 465-6451
Fax: (323) 465-6446
NPPES record last updated: March 28, 2024. Verified against the NPPES registry weekly; last sync: July 12, 2026.
Record update history: Feb 8, 2024, Jan 2, 2024, Oct 6, 2023 and 2 more (5 updates tracked since 2016).
- Individual
- Male
- Oral & Maxillofacial Surgery
- Accepts Insurance
About PETER BALACKY
This page provides the complete NPI Profile along with additional information for Peter Balacky, a provider established in Los Angeles, California with a medical specialization in Oral & Maxillofacial Surgery. The healthcare provider is registered in the NPI registry with number 1164881926 assigned on February 2016. The practitioner's primary taxonomy code is 204E00000X with license number 107091 (CA). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1164881926
- Provider Name
- DR. PETER ANTHONY BALACKY DDS
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 321 N LARCHMONT BLVD STE 613 LOS ANGELES, CA 90004
- Location Phone
- (323) 465-6451
- Location Fax
- (323) 465-6446
- Mailing Address
- 15332 ANTIOCH ST STE 410 PACIFIC PALISADES, CA 90272
- Mailing Phone
- (424) 322-0405
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-22-2016
- Last Update Date
- 03-28-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Oral & Maxillofacial Surgery
- Taxonomy Code
- 204E00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 107091
- License State
- CA
- Taxonomy Description
- Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 204E00000X | Allopathic & Osteopathic Physicians | Oral & Maxillofacial Surgery | DEN03707 (RI) |
| 2 | 204E00000X | Allopathic & Osteopathic Physicians | Oral & Maxillofacial Surgery | 1666 (WY) |
| 3 | 204E00000X | Allopathic & Osteopathic Physicians | Oral & Maxillofacial Surgery | D012069 (AZ) |
| 4 | 204E00000X | Allopathic & Osteopathic Physicians | Oral & Maxillofacial Surgery | D-5590 (ID) |
| 5 | 204E00000X | Allopathic & Osteopathic Physicians | Oral & Maxillofacial Surgery | D11935 (OR) |
| 6 | 204E00000X | Allopathic & Osteopathic Physicians | Oral & Maxillofacial Surgery | 22DI03009300 (NJ) |
| 7 | 204E00000X | Allopathic & Osteopathic Physicians | Oral & Maxillofacial Surgery | DB-2024-0028 (NM) |
| 8 | 204E00000X | Allopathic & Osteopathic Physicians | Oral & Maxillofacial Surgery | 19034729 (IL) |
| 9 | 204E00000X | Allopathic & Osteopathic Physicians | Oral & Maxillofacial Surgery | 016.0134252 (VT) |
| 10 | 204E00000X | Allopathic & Osteopathic Physicians | Oral & Maxillofacial Surgery | 11062 (KY) |
| 11 | 204E00000X | Allopathic & Osteopathic Physicians | Oral & Maxillofacial Surgery | 061045 (NY) |
| 12 | 204E00000X | Allopathic & Osteopathic Physicians | Oral & Maxillofacial Surgery | DEN.00205881 (CO) |
| 13 | 204E00000X | Allopathic & Osteopathic Physicians | Oral & Maxillofacial Surgery | DT-3154 (HI) |
| 14 | 204E00000X | Allopathic & Osteopathic Physicians | Oral & Maxillofacial Surgery | 401418811 (VA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BEST Life Preferred Dental Plan - PPO
- BEST Life Superior Dental Plan - PPO
- BEST Life Essental Preferred Dental Plan - PPO
- BEST Life Essental Value Dental Plan - PPO
- BEST Life Essential Basic Dental Plan - PPO
- BEST Life Essential Basic Dental - PPO
- BEST Life Essential Basic Dental Plan - Indemnity
- BEST Life Essential Basic Dental Plan - PPO
- BEST Life Essential Value Dental Plan - PPO
- BEST Life Essential Value Dental - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueDental Copayment Q - PPO
- BlueDental Copayment QF - PPO
- HRI Essential Plus Plan - HMO
- HRI Essential Plus Plan - PPO
- HRI Preventive Family Plan - HMO
- HRI Preventive Family Plan - PPO
- HRI Total Care Plan - HMO
- HRI Total Care Plan - PPO
- Humana Dental Smart Choice - PPO
- Humana Dental Smart Choice - Basic - PPO
- Humana Dental Smart Choice - High - PPO
- Humana Dental Smart Choice - Lite - PPO
- Humana Dental Smart Choice - Low - PPO
- Paramount Dental Essential Plus Plan - EPO
- Paramount Dental Preventive Family Plan - EPO
- Paramount Dental Total Care Plan - EPO
- Lone Star - Smile Now - PPO
- Smile Now Arizona - No Waiting Period PPO - PPO
- Smile Now Michigan - No Waiting Period PPO - PPO
- Smile Now Ohio - No Waiting Period PPO - PPO
- Smile Now Texas- No Waiting Period Plan - PPO
- Smile Now Utah - No Waiting Period PPO - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1164881926, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
LOS ANGELES, CA 90004
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164881926, enumerated as an "individual" on February 22, 2016.
The provider is located at 321 N LARCHMONT BLVD STE 613 LOS ANGELES, CA 90004 and the phone number is (323) 465-6451.
Oral & Maxillofacial Surgery with taxonomy code 204E00000X.
The provider might be accepting Accepts: BEST Life, Blue Cross and Blue Shield of Montana,. Please consult your insurance carrier or call the provider to verify.
