Peter Balacky, DDS
Peter Balacky, DDS is a provider specialising in Oral & Maxillofacial Surgery (D.M.D.) in Los Angeles, CA, registered under NPI 1164881926.
Getting there
The practice address on file is 321 N LARCHMONT BLVD STE 613, Los Angeles, CA 90004. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 107091 | CA | Oral & Maxillofacial Surgery (D.M.D.) primary |
| DEN03707 | RI | Oral & Maxillofacial Surgery (D.M.D.) |
| 1666 | WY | Oral & Maxillofacial Surgery (D.M.D.) |
| D012069 | AZ | Oral & Maxillofacial Surgery (D.M.D.) |
| D-5590 | ID | Oral & Maxillofacial Surgery (D.M.D.) |
| D11935 | OR | Oral & Maxillofacial Surgery (D.M.D.) |
| 22DI03009300 | NJ | Oral & Maxillofacial Surgery (D.M.D.) |
| DB-2024-0028 | NM | Oral & Maxillofacial Surgery (D.M.D.) |
| 19034729 | IL | Oral & Maxillofacial Surgery (D.M.D.) |
| 016.0134252 | VT | Oral & Maxillofacial Surgery (D.M.D.) |
| 11062 | KY | Oral & Maxillofacial Surgery (D.M.D.) |
| 061045 | NY | Oral & Maxillofacial Surgery (D.M.D.) |
| DEN.00205881 | CO | Oral & Maxillofacial Surgery (D.M.D.) |
| DT-3154 | HI | Oral & Maxillofacial Surgery (D.M.D.) |
| 401418811 | VA | Oral & Maxillofacial Surgery (D.M.D.) |
Licences are recorded in 15 states: CA, RI, WY, AZ, ID, OR, NJ, NM, IL, VT, KY, NY, CO, HI, VA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
Licensed in 15 states
This provider holds licences in 15 states: Arizona, California, Colorado, Hawaii, Idaho, Illinois, Kentucky, New Jersey, New Mexico, New York, Oregon, Rhode Island, Virginia, Vermont and Wyoming. The practice address on file is in Los Angeles, CA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- 107091
- Specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- Licence
- DEN.00205881
- Specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- Licence
- 19034729
- Specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- Licence
- 22DI03009300
- Specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- Licence
- DB-2024-0028
- Specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- Licence
- DEN03707
- Specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- Licence
- 401418811
- Specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- Licence
- 016.0134252
- Specialty
- Oral & Maxillofacial Surgery (D.M.D.)
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Oral & Maxillofacial Surgery covers
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. NUCC Health Care Provider Taxonomy, code 204E00000X
All registered taxonomy codes
This provider registers 15 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 107091 | CA | primary |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | DEN03707 | RI | |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 1666 | WY | |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | D012069 | AZ | |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | D-5590 | ID | |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | D11935 | OR | |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 22DI03009300 | NJ | |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | DB-2024-0028 | NM | |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 19034729 | IL | |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 016.0134252 | VT | |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 11062 | KY | |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 061045 | NY | |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | DEN.00205881 | CO | |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | DT-3154 | HI | |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 401418811 | VA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1164881926 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Feb 22, 2016 |
| Last updated | Mar 28, 2024 |
| Status | Active |
| Sole proprietor | No |
| Credential | DDS |
| Practice address |
321 N LARCHMONT BLVD STE 613 Los Angeles, CA 90004 (323) 465-6451 Fax (323) 465-6446 |
| Mailing address |
15332 ANTIOCH ST STE 410 Pacific Palisades, CA 90272 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 6 | 4 | 8 | 8 | 1 | 9 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 3 | 4 | 7 | 8 | 2 | 9 | 4 |
Sum = 64 · next multiple of 10 = 70 · check digit = 6 · actual last digit = 6
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.