NPIMap

Organization Active NPI

Derek W. Banks DDS Inc.

  • Pediatric Dentistry
  • Hollister, CA
National Provider Identifier
1447780887
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
57965 Issued in CA
Legal business name
DEREK W. BANKS DDS INC.
Practice address
1710 Memorial Dr Ste C
Hollister, CA 95023-5700
Phone
(831) 637-8133
NPI assigned
Jun 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Derek W Banks, DDSNPI 1770718884
Title
President
Phone
(831) 637-8133

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 57965 CA Primary

Addresses

Primary practice location

1710 Memorial Dr Ste C
Hollister, CA 95023-5700

Mailing address

1710 Memorial Dr Ste C
Hollister, CA 95023-5700
Phone (831) 637-8133

National Provider Directory

National Provider Directory

Locations

1710 Memorial Dr
Ste C
Hollister, CA 95023
Phone (831) 637-8133

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": "1497744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1447780887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 MEMORIAL DR STE C",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950235700",
            "telephone_number": "831-637-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 MEMORIAL DR STE C",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950235700",
            "telephone_number": "831-637-8133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEREK W. BANKS DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-637-8133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "57965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollister, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.