Banyas Miranda Dentistry GPS PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BANYAS MIRANDA DENTISTRY GPS PLLC

Practice address

216 W Watauga Ave
Johnson City, TN 37604-5624

Phone

(423) 928-0265

NPI assigned

May 26, 2022

Organization subpart

No

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

Authorized official

Name

William Little, DDS

Title

Co-Owner

Phone

(870) 243-4406

Specialties & licenses 1

Addresses

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.

• Walter Jeff Banyas, D.D.S.

  • Dentist
  • Johnson City, TN
  • NPI 1891816534
  NPD (past)
• David J. Miranda, D.D.S.

  • Dentist
  • Johnson City, TN
  • NPI 1639290364
  NPD (past)

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1083352165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E HUNTINGTON AVE STE E",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724012900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 W WATAUGA AVE",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376045624",
            "telephone_number": "423-928-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANYAS MIRANDA DENTISTRY GPS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "870-243-4406",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yamini Banerjee, M.D.
• Charles Alan Banner, M.A.
• Jannelle Nana Serwah Bannor
• Arianna Banta
• Banyas and Miranda, D.D.S.
• Walter Jeff Banyas, D.D.S.
• Nancy G. Barbarito, M.D.
• Beth Evelyn Barber, LMSW
• Ashley Kristen Barbour, MD
• Vanessa Lee Bare, APN

• Dental Clinic/Center in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Dental Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.