Neidre Janell Banakus DDS PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

NEIDRE JANELL BANAKUS DDS PC

Doing business as

The Smiling Turtle Pediatric Dentistry

Practice address

224 Village Walk Dr
Holly Springs, NC 27540-7681

Phone

(919) 200-0463

Fax

(919) 800-3692

NPI assigned

Sep 21, 2022

Last updated

Sep 21, 2022By the provider in NPPES

Organization subpart

No

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

Specialties & licenses 1

Addresses

Other names 1

• THE SMILING TURTLE PEDIATRIC DENTISTRY 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, and the practitioner matching its NPPES authorized official.

• Neidre Janell Banakus, DDS

  • Pediatric Dentistry
  • Wendell, NC
  • NPI 1205028396
  NPD Authorized official

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1487377800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 VILLAGE WALK DR",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275407681",
            "telephone_number": "919-200-0463",
            "fax_number": "919-800-3692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 VILLAGE WALK DR",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275407681",
            "telephone_number": "919-200-0463",
            "fax_number": "919-800-3692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIDRE JANELL BANAKUS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "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": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE SMILING TURTLE PEDIATRIC DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Navarre Behavioral Health PLLC
• Joan Navarro, PHARMD
• Nazir Ahmad DDS II PA (Capital Oral and Facial Surgery)
• Diovyon Neal
• Brent Randall Neidenthal, D.D.S.
• Neighborhood Urgent Care PLLC (Neighborhood Urgent Care)
• Makala New, PNP-PC
• Alvin Loc Nguyen, DO
• Christina Nicholas, BCBA
• Olga Nilova, MD

• Pediatric Dentistry in Holly Springs, NC
• Providers in Holly Springs, NC by specialty
• Pediatric Dentistry in North Carolina

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