Individual provider Active NPI

Diana D. Banks, M.D.

  • Neurology Physician
  • Salt Lake City, UT
National Provider Identifier
1174543060
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
181340-1205 Issued in UT
Practice address
370 E 9TH Ave Ste 106
Salt Lake City, UT 84103-3182
Phone
(801) 408-5700
Fax
(801) 408-5704
NPI assigned
Jul 20, 2006
Last updated
Jul 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 181340-1205 UT Primary

Addresses

Primary practice location

370 E 9TH Ave Ste 106
Salt Lake City, UT 84103-3182

Mailing address

370 E 9TH Ave Ste 106
Salt Lake City, UT 84103-3182
Phone (801) 408-5700

Other practice location 1

5323 Woodrow St
#201
Murray, UT 84107-5841
Phone (801) 261-4711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040109000896 UT Practitioner - Neurology 7416857131 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dr John Foley LLC Neurology CurrentSince Jul 1, 2021 Accepting new patients
Dr Diana D Banks, LLC Neurology PastSince Nov 30, 2007 Accepting new patients
Northern Utah Healthcare Corporation Past Accepting new patients
Dr Evan G Black LLC Past Accepting new patients

Locations

3300 N 1200 W
Ste 350
Lehi, UT 84043
Phone (801) 331-9660

359 E 8th Ave
Ste 205
Salt Lake City, UT 84103
Phone (801) 408-5700

370 Ninth Ave
Salt Lake City, UT 84103
Phone (801) 321-5700

370 Ninth Ave
Ste 106
Slc, UT 84103
Phone (801) 408-5700

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1174543060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 E 9TH AVE STE 106",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841033182",
            "telephone_number": "801-408-5700",
            "fax_number": "801-408-5704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 E 9TH AVE STE 106",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841033182",
            "telephone_number": "801-408-5700",
            "fax_number": "801-408-5704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5323 Woodrow St",
            "address_2": "#201",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "UT",
            "postal_code": "841075841",
            "country_code": "US",
            "telephone_number": "801-261-4711",
            "fax_number": "801-261-4769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANKS",
        "first_name": "DIANA",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "UT",
            "license": "181340-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.