NPIMap

Organization Active NPI

David B Banda DDS PC

Doing business as Cranbrook Dental Group

  • General Practice Dentistry
  • Bloomfield Hills, MI
National Provider Identifier
1114114857
Registry record updated Apr 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901014380 Issued in MI
Legal business name
DAVID B BANDA DDS PC
Doing business as
Cranbrook Dental Group
Practice address
33 Bloomfield Hills Parkway
Suite 140
Bloomfield Hills, MI 48304
Phone
(248) 647-5434
Fax
(248) 647-7688
NPI assigned
Sep 26, 2007
Last updated
Apr 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2015

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

Authorized official

Name
Mr. David George Banda, DDSNPI 1518921030
Title
Dentist Owner
Phone
(248) 647-5434

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901014380 MI Primary

Addresses

Primary practice location

33 Bloomfield Hills Parkway
Suite 140
Bloomfield Hills, MI 48304

Mailing address

33 Bloomfield Hills Parkway
Suite 140
Bloomfield Hills, MI 48304
Phone (248) 647-5434

Other names 1

  • Cranbrook Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

33 Bloomfield Hills Pkwy
Ste 140
Bloomfld Hls, MI 48304
Phone (212) 421-8180

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428624000000",
    "number": "1114114857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 BLOOMFIELD HILLS PARKWAY",
            "address_2": "SUITE 140",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "48304",
            "telephone_number": "248-647-5434",
            "fax_number": "248-647-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 BLOOMFIELD HILLS PARKWAY",
            "address_2": "SUITE 140",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "48304",
            "telephone_number": "248-647-5434",
            "fax_number": "248-647-7688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID B BANDA DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2015-04-10",
        "status": "A",
        "authorized_official_last_name": "BANDA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "248-647-5434",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901014380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cranbrook Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2015; 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.