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
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 258 | AK | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arctic Chiropractic and Physical Medicine Kodiak | Past |
Accepting new patients | |
| Arctic Chiropractic Anchorage, Apc | Chiropractor | Past | Accepting new patients |
| Mountain View Chiropractic | Chiropractor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH02581 | Medicaid | AK |
NPI Registry JSON
{
"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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 28, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.