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JAMI BALLANTINE DDS
NPI 1558777151
Dentist - Pediatric Dentistry in Salt Lake City, UT

Active since July 03, 2014PECOS Enrolled
55 N REDWOOD RD, SALT LAKE CITY, UT 84116(801) 519-2222 Get Directions Write a Review

NPPES record last updated: May 27, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jami Ballantine Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMI BALLANTINE DDS (NPI 1558777151) is an individual pediatric dentistry provider in Salt Lake City, Utah, licensed in Utah (10130779-9923) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558777151
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameJAMI BALLANTINECredential: DDS
Location Address55 N REDWOOD RDSalt Lake City, UT 84116-3121
Mailing Address2918 E Ksel DrSandy, UT 84092-3465 · (206) 940-2375
Phone(801) 519-2222
Sole ProprietorYes
Enumeration DateJuly 3, 2014
Last NPPES UpdateMay 27, 2020
NPPES CertifiedMay 27, 2020
✔ NPI 1558777151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in UT · 10130779-9923
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

55 N REDWOOD RD, Salt Lake City, UT 84116
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jami Ballantine Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84116 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jami Ballantine's NPI number?

The NPI number for Jami Ballantine is 1558777151. It was assigned to this individual provider in the NPPES registry on July 3, 2014.

Where is Jami Ballantine located?

Jami Ballantine practices at 55 N Redwood Rd, Salt Lake City, UT 84116. The listed phone number is (801) 519-2222.

What is Jami Ballantine's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Jami Ballantine enrolled in Medicare?

Yes. Jami Ballantine is registered in the Medicare PECOS enrollment system.

What insurance does Jami Ballantine accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 11 other insurers list Jami Ballantine as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jami Ballantine was last updated on May 27, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.