NPIMap

Organization Active NPI

Neidre J Banakus DDS PC Wendell

Doing business as The Smiling Turtle Pediatric Dentistry Wendell

  • Pediatric Dentistry
  • Wendell, NC
National Provider Identifier
1396468377
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
NEIDRE J BANAKUS DDS PC WENDELL
Doing business as
The Smiling Turtle Pediatric Dentistry Wendell
Practice address
2255 Treelight Way
Wendell, NC 27591
Phone
(919) 200-0463
NPI assigned
Sep 23, 2022
Last updated
Sep 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Authorized official

Name
Dr. Neidre Janell Banakus, DDSNPI 1205028396
Title
President
Phone
(415) 250-2237

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

2255 Treelight Way
Wendell, NC 27591

Mailing address

2255 Treelight Way
Wendell, NC 27591
Phone (919) 200-0463

Other names 1

  • THE SMILING TURTLE PEDIATRIC DENTISTRY WENDELL Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1396468377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 TREELIGHT WAY",
            "city": "WENDELL",
            "state": "NC",
            "postal_code": "27591",
            "telephone_number": "919-200-0463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 TREELIGHT WAY",
            "city": "WENDELL",
            "state": "NC",
            "postal_code": "27591",
            "telephone_number": "919-200-0463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIDRE J BANAKUS DDS PC WENDELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-23",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-21",
        "status": "A",
        "authorized_official_last_name": "BANAKUS",
        "authorized_official_first_name": "NEIDRE",
        "authorized_official_middle_name": "JANELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-250-2237",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE SMILING TURTLE PEDIATRIC DENTISTRY WENDELL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wendell, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.