Organization Active NPI

Ronald L Banta, DPM, Inc

  • Foot & Ankle Surgery Podiatrist
  • Indianapolis, IN
National Provider Identifier
1326217563
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
RONALD L BANTA, DPM, INC
Practice address
3077 E 98TH St
Indianapolis, IN 46280-2940
Phone
(317) 843-2613
Fax
(317) 574-5185
NPI assigned
Feb 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Authorized official

Name
Dr. Ronald L Banta, DPM
Title
President
Phone
(317) 843-2613

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

3077 E 98TH St
Indianapolis, IN 46280-2940

Mailing address

3077 E 98TH St
Indianapolis, IN 46280-2940
Phone (317) 843-2613

National Provider Directory

National Provider Directory

Locations

3077 E 98th St
Carmel, IN 46280
Phone (317) 843-2613

3077 E 98th St
Ste S100
Carmel, IN 46280
Phone (317) 843-2613

3077 E 98th St
Ste 100
Carmel, IN 46280
Phone (317) 843-2613

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1326217563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3077 E 98TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462802940",
            "telephone_number": "317-843-2613",
            "fax_number": "317-574-5185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3077 E 98TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462802940",
            "telephone_number": "317-843-2613",
            "fax_number": "317-574-5185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD L BANTA, DPM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "BANTA",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-843-2613",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; 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.