Chandi Bankston, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A-1146-00 Issued in NM

Legal business name

CHANDI BANKSTON, D.O.

Practice address

1315 12TH St
Alamogordo, NM 88310-5810

Phone

(505) 437-5716

Fax

(505) 437-5733

NPI assigned

Oct 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Chandi Bankston, D.O.NPI 1932127925

Title

Owner

Phone

(505) 437-5716

Specialties & licenses 1

Addresses

Practitioners 1

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

• Chandi D'Lee Bankston, D.O.

  • Family Medicine Physician
  • Alamogordo, NM
  • NPI 1932127925
  NPD (past) Authorized official

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1235318023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 12TH ST",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883105810",
            "telephone_number": "505-437-5716",
            "fax_number": "505-437-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 12TH ST",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883105810",
            "telephone_number": "505-437-5716",
            "fax_number": "505-437-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANDI BANKSTON, D.O.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "BANKSTON",
        "authorized_official_first_name": "CHANDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-437-5716",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "A-1146-00",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Alamogordo, NM
• Providers in Alamogordo, NM by specialty
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.