Organization Active NPI

Banks Dental Group Inc

  • Dentist
  • Chicago, IL
National Provider Identifier
1699205344
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019026355 Issued in IL
Legal business name
BANKS DENTAL GROUP INC
Practice address
8244 S Ashland Ave
Chicago, IL 60620-4660
Phone
(773) 651-8700
Fax
(773) 651-8711
NPI assigned
Jun 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Dr. Christoher P. Banks, D.M.D
Title
Dentist Owner
Phone
(773) 651-8700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019026355 IL Primary

Addresses

Primary practice location

8244 S Ashland Ave
Chicago, IL 60620-4660

Mailing address

8244 S Ashland Ave
Chicago, IL 60620-4660
Phone (773) 651-8700

Other identifiers 1

IdentifierTypeStateIssuer
1003056342MedicaidIL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1699205344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8244 S ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606204660",
            "telephone_number": "773-651-8700",
            "fax_number": "773-651-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8244 S ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606204660",
            "telephone_number": "773-651-8700",
            "fax_number": "773-651-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANKS DENTAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-15",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "CHRISTOHER",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "773-651-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019026355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003056342",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.