Active NPI
Alex Spence Bankhead, D.D.S. M.S.
- Periodontics
- Orem, UT
National Provider Identifier
1316029002
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Mar 20, 2024.
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 3471239923
- Practice address
- 1375 E 800 N
Ste 104
Orem, UT 84097-4435 - Phone
- (801) 221-7799
- Fax
- (801) 221-9559
- NPI assigned
- Oct 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 3471239923 | UT | Primary |
Addresses
Primary practice location
1375 E 800 N
Ste 104
Orem, UT 84097-4435
Mailing address
1375 E 800 N
Ste 104
Orem, UT 84097-4435
Phone (801) 221-7799
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3471239923 | UT | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316029002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1375 E 800 N",
"address_2": "STE 104",
"city": "OREM",
"state": "UT",
"postal_code": "840974435",
"telephone_number": "801-221-7799",
"fax_number": "801-221-9559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1375 E 800 N",
"address_2": "STE 104",
"city": "OREM",
"state": "UT",
"postal_code": "840974435",
"telephone_number": "801-221-7799",
"fax_number": "801-221-9559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANKHEAD",
"first_name": "ALEX",
"middle_name": "SPENCE",
"name_prefix": "Dr.",
"credential": "D.D.S. M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "UT",
"license": "3471239923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.