Michael James Bannan, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

8897 Issued in NC

Practice address

8001 Creedmoor Rd Ste 211
Raleigh, NC 27613-5692

Phone

(919) 870-7104

NPI assigned

Oct 15, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Daniel J Duffy DMD, PLLC

  • Dental Clinic/Center
  • Wilmington, NC
  • NPI 1699410993
  NPD (past)
• Ronald E Robisnon DDS PA

  • General Practice Dentistry
  • Wilmington, NC
  • NPI 1083728125
  NPD (past)

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1487842589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 CREEDMOOR RD STE 211",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276135692",
            "telephone_number": "919-870-7104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 CREEDMOOR RD STE 211",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276135692",
            "telephone_number": "919-870-7104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANNAN",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-15",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "8897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendra Banks-McDuffy
• Diamond Jewel Banks
• Genesis Jamaya Banks
• Jacqueline Kim Banks, H.I.S.
• Kenneth Banks, MD
• Dallas Banner, NP
• Lillian Banner
• Rani Bansal
• Lizeth Joanna Rego Banuchi, APRN
• Olivia Banville, LCMHC

• All providers in Raleigh, NC
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.