Individual provider
DR. ANGELA TIANA BALLEW, D.C.
CMS NPPES lists DR. ANGELA TIANA BALLEW as an individual provider record with NPI 1003019795. The current record reports a primary practice location in DAVENPORT, IA and primary taxonomy code 111N00000X.
Type 1 NPIs identify individual healthcare providers. How to read this profile
01
Practice locations
- Primary practice location2711 W 63RD STSUITE 4DAVENPORT, IA 52803
Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.
02
Taxonomy information
111N00000XPrimary reported taxonomy
Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.
03
NPI record information
- NPI status
- Enumerated in NPPES
- Enumeration date
- June 8, 2007
An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.