Ban Oral and Facial Surgical Associates LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DS022496L Issued in PA

Legal business name

BAN ORAL AND FACIAL SURGICAL ASSOCIATES LLC

Practice address

4725 McKnight Rd Ste 209
Pittsburgh, PA 15237-3414

Phone

(412) 367-3020

Fax

(412) 367-5940

NPI assigned

Aug 17, 2018

Last updated

Aug 17, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Laurie D. Frank

Title

Office Manager

Phone

(412) 367-3020

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christopher M Ban, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Beaver, PA
  • NPI 1184990467
  Medicare reassignment Care Compare group NPD
• Michael Kim Ban, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Rochester, PA
  • NPI 1962482562
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1073093233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 MCKNIGHT RD STE 209",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152373414",
            "telephone_number": "412-367-3020",
            "fax_number": "412-367-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4725 MCKNIGHT RD STE 209",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152373414",
            "telephone_number": "412-367-3020",
            "fax_number": "412-367-5940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAN ORAL AND FACIAL SURGICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-17",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "FRANK",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "412-367-3020"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS022496L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1034343930001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Baltaji
• Rachael Elizabeth Baltrusaite, CCC-SLP
• Marcie Baltz, PT
• Elizabeth Balwah
• Jeffrey Ronald Balzer, PHD
• Mia Angela Ban, RPH
• Sarah Mercedes Bana-Hetrick
• Barbara M Banasick, CRNA
• Patricia Bancroft, CRNP
• Nithin Reddy Banda, MD

• Oral and Maxillofacial Surgery (Dentist) in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.