Active NPI
Gary Wayne Banfield, D,D,S,
- Dentist
- Gainesville, FL
National Provider Identifier
1407949522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN011422
- Practice address
- 5347 SW 91St Ter
Suite B
Gainesville, FL 32608-7125 - Phone
- (352) 375-6116
- Fax
- (352) 378-2184
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN011422 | FL | Primary |
Addresses
Primary practice location
5347 SW 91St Ter
Suite B
Gainesville, FL 32608-7125
Mailing address
5347 SW 91St Ter
Suite B
Gainesville, FL 32608-7125
Phone (352) 375-6116
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN011422 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407949522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5347 SW 91ST TER",
"address_2": "SUITE B",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326087125",
"telephone_number": "352-375-6116",
"fax_number": "352-378-2184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5347 SW 91ST TER",
"address_2": "SUITE B",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326087125",
"telephone_number": "352-375-6116",
"fax_number": "352-378-2184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANFIELD",
"first_name": "GARY",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "D,D,S,",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN011422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.