Bana A Anbari, DDS, MSD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

30.022360 Issued in OH

Practice address

24803 Detroit Rd
Westlake, OH 44145-2553

Phone

(440) 835-5388

NPI assigned

Apr 14, 2011

Sex

Female

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 OH

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

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302739200000",
    "number": "1720378599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31032 LOGAN CT",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441456831",
            "telephone_number": "440-808-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24803 DETROIT RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441452553",
            "telephone_number": "440-835-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANBARI",
        "first_name": "BANA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-14",
        "last_updated": "2011-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "OH",
            "license": "30.022360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• American Home Health Services, Inc
• Americare Home Care Network of Ohio LTD
• Americare Kidney Institute LLC
• Amil LLC
• Anastasia P Theodorou LLC
• Charity Anderson, RBT
• Edith Anderson
• Heather Kay Anderson, LISW
• Kristen Anderson, RN
• Nuvia Andres

• Periodontics in Westlake, OH
• Providers in Westlake, OH by specialty
• Periodontics in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2011; 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.