James Brook Balloch
Dentist, Endodontics in Farmington, CT. Individual provider (NPI-1).
NPI number1366062291
StatusActive
Last updated in NPPESFeb 2, 2026
Details
- NPI
- 1366062291
- Entity type
- Individual (NPI-1)
- Name
- James Brook Balloch
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 21, 2020
- Certification date
- Feb 2, 2026
- Last updated
- Feb 2, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - DENTIST
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223E0200X | Dentist, Endodontics | 04867 | NH | Yes |
Practice location
263 Farmington AveFarmington, CT 06030-0001
Phone 860-679-2000
Mailing address
25 Karen DrPortland, CT 06480-1016
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 15 Endodontics providers in Farmington · All 3,315 providers in Farmington
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