Joseph Mark Banyas, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS027278L Issued in PA

Practice address

919 W 15TH St
Hazleton, PA 18201-2707

Phone

(570) 454-1665

Fax

(570) 501-2589

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dentist

Education

Univ of Pittsburgh School of Dental Medicine, 1990

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Rural Health Corporation of Northeastern Pennsylvania

  • Federally Qualified Health Center (FQHC)
  • Wilkes Barre, PA
  • NPI 1265801112

  PA

  Medicare reassignment

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104903954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 ARROW RD",
            "city": "FREELAND",
            "state": "PA",
            "postal_code": "182243028",
            "telephone_number": "570-636-2905",
            "fax_number": "570-501-2589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 W 15TH ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182012707",
            "telephone_number": "570-454-1665",
            "fax_number": "570-501-2589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANYAS",
        "first_name": "JOSEPH",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS027278L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tequilla Tavockious Ayinla, MD
• B. Bittar, M.D., P.C.
• Joseph Vito Bafile Jr., DC
• Laura Bailey, CRNP
• Nicole Lee Balchune, DO
• Suneil Bapat, MD
• Rachel Barletta-Scarcella
• Brittany Ann Barletta, OTR/L
• Nicholas J Barna, MD
• Theresa Mary Baseski, D.O.

• All providers in Hazleton, PA
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.