Ruzanna Balyan
Dentist in Surprise, AZ. Individual provider (NPI-1).
NPI number1992364087
StatusActive
Last updated in NPPESJun 11, 2019
Details
- NPI
- 1992364087
- Entity type
- Individual (NPI-1)
- Name
- Ruzanna Balyan
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 11, 2019
- Last updated
- Jun 11, 2019
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 |
|---|---|---|---|---|
| 122300000X | Dentist | D010339 | AZ | Yes |
Practice location
13869 W Bell Rd Ste 103Surprise, AZ 85374-2468
Phone 623-584-4015
Mailing address
3910 W Soft Wind DrGlendale, AZ 85310-4036
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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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