Individual provider Active NPI

Ted Banko, D.C.

  • Chiropractor
  • Easton, PA
National Provider Identifier
1346308418
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC001707L Issued in PA
Practice address
3615 Nicholas St
Easton, PA 18045-5113
Phone
(610) 252-2216
Fax
(610) 252-5597
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC001707L PA Primary

Addresses

Primary practice location

3615 Nicholas St
Easton, PA 18045-5113

Mailing address

3615 Nicholas St
Easton, PA 18045-5113
Phone (610) 252-2216

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC001707LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ted Banko DC Chiropractor PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1346308418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 NICHOLAS ST",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180455113",
            "telephone_number": "610-252-2216",
            "fax_number": "610-252-5597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 NICHOLAS ST",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180455113",
            "telephone_number": "610-252-2216",
            "fax_number": "610-252-5597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKO",
        "first_name": "TED",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC001707L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.