Individual provider Active NPI

Savannah L Banas, DDS

  • General Practice Dentistry
  • Huntington Woods, MI
National Provider Identifier
1760898886
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901021308 Issued in MI
Practice address
26635 Woodward Ave Ste 200
Huntington Woods, MI 48070-1372
Phone
(248) 398-6046
NPI assigned
Jul 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901021308 MI Primary

Addresses

Primary practice location

26635 Woodward Ave Ste 200
Huntington Woods, MI 48070-1372

Mailing address

26635 Woodward Ave Ste 200
Huntington Woods, MI 48070-1372
Phone (248) 398-6046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20160503001257 MI Order and Referring Only - DentistPractitioner - Dentist 4688973241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901021308MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Barry S. Pinsky DDS, & Ellen B. Folbe DDS, PC General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1760898886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26635 WOODWARD AVE STE 200",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "480701372",
            "telephone_number": "248-398-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26635 WOODWARD AVE STE 200",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "480701372",
            "telephone_number": "248-398-6046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANAS",
        "first_name": "SAVANNAH",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-09",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901021308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Woods, MI

Sources for this page

Verify at the official NPI Registry.