Bankhead DDS Orthodontics DDS PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

BANKHEAD DDS ORTHODONTICS DDS PC

Practice address

8631 State Highway N
Lake St. Louis, MO 63367

Phone

(636) 226-1050

Fax

(636) 898-2001

NPI assigned

Jun 14, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Darren McKay Rodaborugh, DDS

Title

Owner

Phone

(636) 978-8848

Specialties & licenses 1

Addresses

Tax ID family

Bankhead DDS Orthodontics DDS PC2 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.

• Bankhead Orthodontics DDS PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Ofallon, MO
  • NPI 1265641617
  NPD tax ID

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

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1184467433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 HWY K",
            "city": "O'FALLON",
            "state": "MO",
            "postal_code": "63368",
            "telephone_number": "636-978-8848",
            "fax_number": "636-294-4059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8631 STATE HIGHWAY N",
            "city": "LAKE ST. LOUIS",
            "state": "MO",
            "postal_code": "63367",
            "telephone_number": "636-226-1050",
            "fax_number": "636-898-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANKHEAD DDS ORTHODONTICS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-14",
        "last_updated": "2024-06-14",
        "status": "A",
        "authorized_official_last_name": "RODABORUGH",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "MCKAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-978-8848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Ann Ayo
• Maimuna Baig, MD
• Ann Marie Baker, LPC
• Balance of Life, LLC
• Geetha Balasubramanian, MD
• Barbara McDowell, LLC
• Robert Warren Baronovic, PT
• Eugene J Barth, M.D.
• Douglas A Barton, M.D.
• Be the Change Counseling Services

• Orthodontics and Dentofacial Orthopedics Dentistry in Lake St. Louis, MO
• Providers in Lake St. Louis, MO by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.