Derek W Banks, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

57965 Issued in CA

Practice address

1710 Memorial Dr Ste C
Hollister, CA 95023-5700

Phone

(831) 637-8133

NPI assigned

May 19, 2009

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Derek W. Banks DDS Inc.

  • Pediatric Dentistry
  • Hollister, CA
  • NPI 1447780887
  NPD Authorized official

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1770718884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 MEMORIAL DR STE C",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950235700",
            "telephone_number": "831-637-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 MEMORIAL DR STE C",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950235700",
            "telephone_number": "831-637-8133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKS",
        "first_name": "DEREK",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "57965",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "57965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raquel Bagaoisan
• Amy Kathleen Bailey, CPNP
• Mary Denise Bains-Fort, LMFT, PH.D.
• Nancy Bales, MFT
• Jennifer Michelle Bange, RDN
• Sara Baraby
• Hope Barker
• Lauren Barker, EDS, EDD
• Mohammad Aslam Barra, MD
• Alejandra Loeza Barron

• Pediatric Dentistry in Hollister, CA
• Providers in Hollister, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.