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DR. STEPHANIE EARLINE BALLENTINE DDS PA
NPI 1780728048
Dentist - General Practice in Charlotte, NC

Active since February 19, 2007PECOS Enrolled
1315 MATHESON AVE, CHARLOTTE, NC 28205(704) 334-6907(704) 376-4773 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Stephanie Earline Ballentine Dds Pa NPPES

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

DR. STEPHANIE EARLINE BALLENTINE DDS PA (NPI 1780728048) is an individual general practice provider in Charlotte, North Carolina, licensed in North Carolina (4831) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780728048
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. STEPHANIE EARLINE BALLENTINECredential: DDS PA
Location Address1315 MATHESON AVECharlotte, NC 28205-1670
Mailing Address1315 Matheson AveCharlotte, NC 28205-1670 · (704) 334-6907 · Fax (704) 376-4773
Phone(704) 334-6907
Fax(704) 376-4773
Sole ProprietorYes
Enumeration DateFebruary 19, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1780728048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NC · 4831
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1315 MATHESON AVE, Charlotte, NC 28205
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Other Identifiers 1

Medicaid8990381NC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stephanie Earline Ballentine Dds Pa 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 28205 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 4

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

B AND L LOCKHART, P.L.L.C
Dentist (Orthodontics and Dentofacial Orthopedics)
1315 MATHESON AVE
CHARLOTTE, NC 28205
Mecklenburg County (704) 334-6907
DUAL IMAGE DENTISTRY & ORTHODONTICS
Clinic/Center (Dental)
1315 MATHESON AVE
CHARLOTTE, NC 28205
Mecklenburg County (704) 334-6907
STEPHANIEBALLENTINE,DDS,PA
Dentist (General Practice)
1315 MATHESON AVE
CHARLOTTE, NC 28205
Mecklenburg County (704) 334-6907
DR. LINDSEY RENNICK SALONE DDS
Dentist (General Practice)
1315 MATHESON AVE
CHARLOTTE, NC 28205
Mecklenburg County (043) 346-9077

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 Stephanie Ballentine's NPI number?

The NPI number for Stephanie Ballentine is 1780728048. It was assigned to this individual provider in the NPPES registry on February 19, 2007.

Where is Stephanie Ballentine located?

Stephanie Ballentine practices at 1315 Matheson Ave, Charlotte, NC 28205. The listed phone number is (704) 334-6907.

What is Stephanie Ballentine's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Stephanie Ballentine enrolled in Medicare?

Yes. Stephanie Ballentine is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephanie Ballentine was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.