Organization Active NPI

Bankston Family Dentistry

  • General Practice Dentistry
  • Gallatin, TN
National Provider Identifier
1619255718
Registry record updated Jul 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS3246 Issued in TN
Legal business name
BANKSTON FAMILY DENTISTRY
Practice address
335 W Main St
Suite J
Gallatin, TN 37066-3240
Phone
(615) 452-6191
Fax
(615) 452-9711
NPI assigned
Jul 25, 2011
Last updated
Jul 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2011

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

Authorized official

Name
Dr. Carl Walter Bankston Jr., DDS
Title
Owner Dentist
Phone
(615) 452-6191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DS3246 TN Primary

Addresses

Primary practice location

335 W Main St
Suite J
Gallatin, TN 37066-3240

Mailing address

335 W Main St
Suite J
Gallatin, TN 37066-3240
Phone (615) 452-6191

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311552000000",
    "number": "1619255718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 W MAIN ST",
            "address_2": "SUITE J",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370663240",
            "telephone_number": "615-452-6191",
            "fax_number": "615-452-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 W MAIN ST",
            "address_2": "SUITE J",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370663240",
            "telephone_number": "615-452-6191",
            "fax_number": "615-452-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANKSTON FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-25",
        "last_updated": "2011-07-25",
        "status": "A",
        "authorized_official_last_name": "BANKSTON",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "615-452-6191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS3246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallatin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; 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.