NPIMap

Organization Active NPI

Dr Diana D Banks, LLC

  • Neurological Surgery Physician
  • Salt Lake City, UT
National Provider Identifier
1437331592
Registry record updated Oct 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
181340-1205 Issued in UT
Legal business name
DR DIANA D BANKS, LLC
Practice address
5323 South 120 West
Suite 201
Salt Lake City, UT 84107
Phone
(801) 508-5945
NPI assigned
Nov 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2008

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

Authorized official

Name
Jennifer Dawson
Title
Clinic Manager
Phone
(801) 208-5945

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X 181340-1205 UT Primary

Addresses

Primary practice location

5323 South 120 West
Suite 201
Salt Lake City, UT 84107

Mailing address

PO Box 95970
South Jordan, UT 84095-0970
Phone (801) 352-9500

Other identifiers 2

IdentifierTypeStateIssuer
1437331592MedicaidUT
130009566OtherUTRAILROAD MEDICARE

Other names 1

  • Rocky Mtn Neurology Doing business as

National Provider Directory

National Provider Directory

Locations

1250 E 3900 S
Ste 300
Salt Lake Cty, UT 84124
Phone (801) 261-4711

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223510400000",
    "number": "1437331592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95970",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840950970",
            "telephone_number": "801-352-9500",
            "fax_number": "801-352-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 SOUTH 120 WEST",
            "address_2": "SUITE 201",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84107",
            "telephone_number": "801-508-5945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR DIANA D BANKS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2008-10-09",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "801-208-5945"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "UT",
            "license": "181340-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437331592",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "130009566",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rocky Mtn Neurology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; 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.