Bankhead Alton Orthodontics PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

BANKHEAD ALTON ORTHODONTICS PC

Doing business as

Heintz and Bankhead Orthodontics

Practice address

910 W Main St
Carlinville, IL 62626-1200

Phone

(217) 854-7423

NPI assigned

Feb 11, 2020

Organization subpart

No

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

Authorized official

Name

Andrea Ritemeyer

Title

Administrator

Phone

(636) 978-8848

Specialties & licenses 1

Addresses

Other names 1

• Heintz and Bankhead Orthodontics Doing business as

Locations

Practitioners 1

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

• Darren McKay Rodabough, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • O'Fallon, MO
  • NPI 1447434048
  NPD

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595462400000",
    "number": "1386276038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 HIGHWAY K",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633688675",
            "telephone_number": "636-734-7876",
            "fax_number": "636-898-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 W MAIN ST",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626261200",
            "telephone_number": "217-854-7423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANKHEAD ALTON ORTHODONTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-11",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A",
        "authorized_official_last_name": "RITEMEYER",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "636-978-8848"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heintz and Bankhead Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heintz and Bankhead Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Acorn Medical
• Advanced Family Dental & Orthodontics of Carlinville, PC
• Kim C Allison, RN
• Angelly Alvarez Collazo, LPC
• William Anderson, MA LCPC
• Brenda I Beanblossom, MA LCPC
• Behavior Rehab
• Kelly Suzanne Behme, MA CCC-SLP/L
• Molly Jo Bergman, PHARMD
• Wayne Blevins Jr.

• Orthodontics and Dentofacial Orthopedics Dentistry in Carlinville, IL
• Providers in Carlinville, IL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; 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.