Active NPI
Olya Banchik, DDS
- General Practice Dentistry
- Waxhaw, NC
National Provider Identifier
1043309479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10887
- Practice address
- 9925 Rea Rd.
Ste 104
Waxhaw, NC 28173 - Phone
- (704) 654-6976
- Fax
- (704) 288-4391
- NPI assigned
- Oct 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10887 | NC | Primary |
Addresses
Primary practice location
9925 Rea Rd.
Ste 104
Waxhaw, NC 28173
Mailing address
9935D Rea Rd Ste 282
Charlotte, NC 28277-6710
Phone (704) 654-6976
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10887 | NC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olya Banchik DDS PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543449600000",
"number": "1043309479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9935D REA RD STE 282",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282776710",
"telephone_number": "704-654-6976",
"fax_number": "702-360-3178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9925 REA RD.",
"address_2": "STE 104",
"city": "WAXHAW",
"state": "NC",
"postal_code": "28173",
"telephone_number": "704-654-6976",
"fax_number": "704-288-4391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANCHIK",
"first_name": "OLYA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2018-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "10887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waxhaw, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.