Arnold Edward Bansen, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10311 Issued in MI

Practice address

4515 Metro Parkway
Sterling Heights, MI 48310-0000

Phone

(586) 979-1450

Fax

(586) 979-7891

NPI assigned

Dec 27, 2007

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

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198713600000",
    "number": "1144404005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 METROPOLITAN PARKWAY",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483100000",
            "telephone_number": "586-979-1450",
            "fax_number": "586-979-7891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 METRO PARKWAY",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483100000",
            "telephone_number": "586-979-1450",
            "fax_number": "586-979-7891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANSEN",
        "first_name": "ARNOLD",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-27",
        "last_updated": "2007-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "10311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Teresa Trongco Bancolita-Cook, PT
• Michele C Bandoo, MA, LPC
• Bianca Banks, NP
• Jasmine C Banks
• Elie Banna, MD
• Sylvina Latif Barash
• Melissa Barbee
• Skyler Joi Barbee
• Kevin Barbier
• Miranda N Barconey

• General Practice Dentistry in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.