Robert H Banks, D.C.

Individual provider Active NPI Chiropractor · Kodiak, AK

NPI 1770535676 · NPPES record last updated Nov 28, 2016

Key facts

NPI
1770535676
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
258 (AK)
Practice address
326 Center Ave
Ste 100
Kodiak, AK 99615-7302
Phone
(907) 486-6906
Fax
(907) 486-1033
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 3

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
258AKMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Arctic Chiropractic and Physical Medicine Kodiak Past
since Aug 4, 2019
Accepting new patients
Arctic Chiropractic Anchorage, Apc Chiropractor Past Accepting new patients
Mountain View Chiropractic Chiropractor Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 258 AK Yes

Addresses

Primary practice location

326 Center Ave
Ste 100
Kodiak, AK 99615-7302

Mailing address

326 Center Ave
Ste 100
Kodiak, AK 99615-7302
Phone (907) 486-4042

Other identifiers

IdentifierTypeStateIssuer
CH02581MedicaidAK

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 28, 2016.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480291200000",
    "number": "1770535676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 CENTER AVE",
            "address_2": "STE 100",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996157302",
            "telephone_number": "907-486-4042",
            "fax_number": "907-486-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 CENTER AVE",
            "address_2": "STE 100",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996157302",
            "telephone_number": "907-486-6906",
            "fax_number": "907-486-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKS",
        "first_name": "ROBERT",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2016-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH02581",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kodiak, AK

All providers in Kodiak, AK · Chiropractor in Alaska

Sources for this page

Verify at the official NPI Registry.