NPIMap

Organization Active NPI

Kenneth Banks MD PA

Doing business as Kenneth Banks MD

  • Family Medicine Physician
  • Raleigh, NC
National Provider Identifier
1679804116
Registry record updated Dec 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
18602 Issued in NC
Legal business name
KENNETH BANKS MD PA
Doing business as
Kenneth Banks MD
Practice address
2949 New Bern Avenue
Suite 112a
Raleigh, NC 27610
Phone
(919) 255-1408
Fax
(919) 212-9029
NPI assigned
Jan 22, 2010
Last updated
Dec 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2012

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

Authorized official

Name
Kenneth Banks, MDNPI 1629026190
Title
Owner
Phone
(919) 269-9144

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 18602 NC Primary

Addresses

Primary practice location

2949 New Bern Avenue
Suite 112a
Raleigh, NC 27610

Mailing address

PO Box 707
Durham, NC 27702-0707
Phone (919) 255-1408

Other names 1

  • Kenneth Banks MD Doing business as

National Provider Directory

National Provider Directory

Locations

2949 New Bern Ave
Ste 112A
Raleigh, NC 27610
Phone (919) 231-3614

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355961600000",
    "number": "1679804116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 707",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277020707",
            "telephone_number": "919-255-1408",
            "fax_number": "919-212-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2949 NEW BERN AVENUE",
            "address_2": "SUITE 112A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27610",
            "telephone_number": "919-255-1408",
            "fax_number": "919-212-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH BANKS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-22",
        "last_updated": "2012-12-20",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-269-9144",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "18602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kenneth Banks MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; 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.