Manendu Banik, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

3456 Issued in SC

Practice address

8720 Northpark Blvd
N Charleston, SC 29406-9220

Phone

(843) 553-0911

Fax

(843) 553-0981

NPI assigned

Dec 27, 2006

Last updated

Jun 27, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ron Banik DMD PC

  • Dentist
  • North Charleston, SC
  • NPI 1376693572
  NPD Authorized official

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1093870032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8720 NORTHPARK BLVD",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294069220",
            "telephone_number": "843-553-0911",
            "fax_number": "843-553-0981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8720 NORTHPARK BLVD",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294069220",
            "telephone_number": "843-553-0911",
            "fax_number": "843-553-0981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANIK",
        "first_name": "MANENDU",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "3456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZA9768",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Martin D Ball, PA
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• Amy Elizabeth Bare
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• Donald E Bellebaum, D.D.S.
• Bennett Chiropractic Center

• Dentist in N Charleston, SC
• Providers in N Charleston, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.