NPIMap

Organization Active NPI

Banich & Banich PLLC

  • General Practice Dentistry
  • Colville, WA
National Provider Identifier
1154876043
Registry record updated Aug 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE60097161 Issued in WA
Legal business name
BANICH & BANICH PLLC
Practice address
775 S Main St
Suite C
Colville, WA 99114-2514
Phone
(509) 684-4586
Fax
(506) 685-1043
NPI assigned
Aug 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2016

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

Authorized official

Name
Dr. Jeffrey Banich, DMDNPI 1831329812
Title
Owner/Dentist
Phone
(509) 684-4586

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DE60097161 WA Primary

Addresses

Primary practice location

775 S Main St
Suite C
Colville, WA 99114-2514

Mailing address

775 S Main St
Suite C
Colville, WA 99114-2514
Phone (509) 684-4586

National Provider Directory

National Provider Directory
Tax ID family
Banich Banich PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1471651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471651200000",
    "number": "1154876043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 S MAIN ST",
            "address_2": "SUITE C",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991142514",
            "telephone_number": "509-684-4586",
            "fax_number": "509-685-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 S MAIN ST",
            "address_2": "SUITE C",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991142514",
            "telephone_number": "509-684-4586",
            "fax_number": "506-685-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANICH & BANICH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-20",
        "last_updated": "2016-08-20",
        "status": "A",
        "authorized_official_last_name": "BANICH",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "509-684-4586",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60097161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2016; 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.