ERIC BALLOU DDS
NPI 1952561003
Dentist in Boise, ID

Active since June 12, 2008PECOS Enrolled
5355 W STATE ST, BOISE, ID 83703(208) 853-4687(208) 853-4690 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eric Ballou Dds NPPES

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

ERIC BALLOU DDS (NPI 1952561003) is an individual dentist in Boise, Idaho, licensed in Idaho (D-4142) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952561003
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameERIC BALLOUCredential: DDS
Location Address5355 W STATE STBoise, ID 83703-3333
Mailing Address5355 W State StBoise, ID 83703-3333 · (208) 853-4687 · Fax (208) 853-4690
Fax(208) 853-4690
Sole ProprietorYes
Enumeration DateJune 12, 2008
Last NPPES UpdateFebruary 12, 2024
NPPES CertifiedFebruary 12, 2024
NPI 1952561003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in ID · D-4142
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.
5355 W STATE ST, Boise, ID 83703

Accepted 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)

Eric Ballou 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 83703 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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 5

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

Dentist (General Practice)
5355 W STATE ST
BOISE, ID 83703
Clinic/Center (Dental)
5355 W STATE ST
BOISE, ID 83703
Dentist (General Practice)
5355 W STATE ST
BOISE, ID 83703
Dentist (General Practice)
5355 W STATE ST
BOISE, ID 83703
Dentist
5355 W STATE ST
BOISE, ID 83703

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 Eric Ballou's NPI number?

The NPI number for Eric Ballou is 1952561003. It was assigned to this individual provider in the NPPES registry on June 12, 2008.

Where is Eric Ballou located?

Eric Ballou practices at 5355 W State St, Boise, ID 83703. The listed phone number is (208) 853-4687.

What is Eric Ballou's specialty?

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

Is Eric Ballou enrolled in Medicare?

Yes. Eric Ballou is registered in the Medicare PECOS enrollment system.

What insurance does Eric Ballou accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Eric Ballou 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 Eric Ballou was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.