NPIMap

Organization Active NPI

Jeffrey R Banas

  • Chiropractor
  • Mesa, AZ
National Provider Identifier
1073781274
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
AZ5396 Issued in AZ
Legal business name
JEFFREY R BANAS
Practice address
4540 E Baseline
Suite 106
Mesa, AZ 85206
Phone
(480) 633-6837
Fax
(480) 393-0928
NPI assigned
Feb 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

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

Authorized official

Name
Dr. Jeff Richard Banas, DC
Title
Owner
Phone
(480) 633-6837

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X AZ5396 AZ Primary

Addresses

Primary practice location

4540 E Baseline
Suite 106
Mesa, AZ 85206

Mailing address

PO Box 2055
Mesa, AZ 85214-2055
Phone (480) 633-6837

National Provider Directory

National Provider Directory

Locations

1184 N Gilbert Rd
#100
Gilbert, AZ 85234
Phone (480) 633-6837

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1073781274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2055",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852142055",
            "telephone_number": "480-633-6837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 E BASELINE",
            "address_2": "SUITE 106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85206",
            "telephone_number": "480-633-6837",
            "fax_number": "480-393-0928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY R BANAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "BANAS",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-633-6837",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "AZ5396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.