NPIMap

Organization Active NPI

Bankhead Alton Orthodontics PC

Doing business as Heintz and Bankhead Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Alton, IL
National Provider Identifier
1740812494
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
BANKHEAD ALTON ORTHODONTICS PC
Doing business as
Heintz and Bankhead Orthodontics
Practice address
2828 Homer Adams Pkwy
Alton, IL 62002-4855
Phone
(618) 465-7423
NPI assigned
Feb 11, 2020
Last updated
Jul 27, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
BANKHEAD ORTHODONTICS DDS PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Authorized official

Name
Mrs. Andrea Rose Reitmeyer
Title
Practice Administrator
Phone
(636) 734-7876

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X Primary

Addresses

Primary practice location

2828 Homer Adams Pkwy
Alton, IL 62002-4855

Mailing address

3006 Highway K
O Fallon, MO 63368-8675
Phone (636) 734-7876

Other names 1

  • Heintz and Bankhead Orthodontics Doing business as

National Provider Directory

National Provider Directory
Part of
Bankhead DDS Orthodontics DDS PC

Locations

2828 Homer M Adams Pkwy
Alton, IL 62002
Phone (618) 465-7423

3006 Highway K
O Fallon, MO 63368
Phone (636) 978-8848

Practitioners & affiliated clinicians

Practitioners 5

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": "1581379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1740812494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 HIGHWAY K",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633688675",
            "telephone_number": "636-734-7876",
            "fax_number": "636-898-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 HOMER ADAMS PKWY",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620024855",
            "telephone_number": "618-465-7423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANKHEAD ALTON ORTHODONTICS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BANKHEAD ORTHODONTICS DDS PC",
        "enumeration_date": "2020-02-11",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "REITMEYER",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "636-734-7876",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heintz and Bankhead Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heintz and Bankhead Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.