John Herbert Bannwarth, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

659 Issued in SD

Practice address

4501 E Arrowhead Pkwy
Sioux Falls, SD 57110-2701

Phone

(605) 999-9451

NPI assigned

Sep 24, 2008

Sex

Male

Sole proprietor

Yes

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

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222214400000",
    "number": "1689824856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25134 CAMPGROUND RD",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573017829",
            "telephone_number": "605-999-9451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 E ARROWHEAD PKWY",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571102701",
            "telephone_number": "605-999-9451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANNWARTH",
        "first_name": "JOHN",
        "middle_name": "HERBERT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-24",
        "last_updated": "2008-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eimimaryl Banayos, LPN
• Francis Christopher Bandettini, D.O.
• Karen Ann Banken, PA-C
• Fanix Bannister
• Eric Andrew Bannwarth, PA-C
• Jonathon Bannwarth
• Suzie Lynn Banouvong, RRT
• Keerthi Bansal
• Bruce Douglas Banwart, MD
• Barbara Ra Christensen II Inc

• Optometrist in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Optometrist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.