Andrew R Banker, DDS, MD

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

6203 Issued in LA

Practice address

2250 Hospital Dr
Suite 132
Bossier City, LA 71111-2167

Phone

(318) 747-5812

Fax

(318) 747-5841

NPI assigned

May 23, 2007

Last updated

Mar 9, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Oral Surgery

Education

Louisiana State University School of Medicine in Shreveport, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arklatex Oral and Maxillofacial Surgery a Partnership of ProfessionalGroup PAC ID 9739376864, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Arklatex Oral & Maxillofacial Surgery a Partnership of Professional de

  • Oral and Maxillofacial Surgery (Dentist)
  • Shreveport, LA
  • NPI 1003092545
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331251200000",
    "number": "1336359744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 HOSPITAL DR",
            "address_2": "SUITE 132",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112167",
            "telephone_number": "318-747-5812",
            "fax_number": "318-747-5841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 HOSPITAL DR",
            "address_2": "SUITE 132",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112167",
            "telephone_number": "318-747-5812",
            "fax_number": "318-747-5841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKER",
        "first_name": "ANDREW",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2012-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "LA",
            "license": "6203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09336",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093360",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Allen Ballard, PA-C, ATC
• Louie T Ballis, DC
• Attila Balogh, MD
• Michael A Banda, M.D.
• Lauren Gernand Banet, PA-C
• Charlotte E. Banker, DDS
• Lori Ann Barber, PTA
• Ryan Brand Barcelona, PT, DPT
• Craig Barnes
• Marcus W Barnett

• Oral & Maxillofacial Surgery (D.M.D.) in Bossier City, LA
• Providers in Bossier City, LA by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.