Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JOHN GEORGE BALLOUZ DDS
NPI 1609668128
Dentist in Detroit, MI

Q: What is John Ballouz's NPI number?

The NPI number for John Ballouz is 1609668128. It was assigned to this individual provider in the NPPES registry on May 20, 2025.

Q: What is John Ballouz's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for John Ballouz was last updated on July 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 20, 2025PECOS Enrolled

2700 MARTIN LUTHER KING JR BLVD, DETROIT, MI 48208(313) 494-6873(313) 494-6834 Get Directions Write a Review

NPPES record last updated: July 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 11, 2026, May 20, 2025 (2 updates tracked since 2025).

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About John George Ballouz Dds NPPES

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

JOHN GEORGE BALLOUZ DDS (NPI 1609668128) is an individual dentist in Detroit, Michigan, licensed in Michigan (2901602663) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609668128

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameJOHN GEORGE BALLOUZCredential: DDS

Location Address2700 MARTIN LUTHER KING JR BLVDDetroit, MI 48208-2576

Mailing Address2700 Martin Luther King Jr BlvdDetroit, MI 48208-2576 · (313) 494-6873

Phone(313) 494-6873

Fax(313) 494-6834

Sole ProprietorYes

Enumeration DateMay 20, 2025

Last NPPES UpdateJuly 11, 20262 updates tracked since enumeration

NPPES CertifiedJuly 11, 2026

✔ NPI 1609668128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MI · 2901602663

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

2700 MARTIN LUTHER KING JR BLVD, Detroit, MI 48208

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John George Ballouz 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 48208 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SWATI DINESH CHITRE DDS,MSD

Dentist