Active NPI
David Blair Banks, D.C
- Chiropractor
- Grand Prairie, TX
National Provider Identifier
1790705986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2922
- Practice address
- 1055 W Pioneer Pkwy
Grand Prairie, TX 75051-4706 - Phone
- (972) 660-5141
- Fax
- (972) 660-4563
- NPI assigned
- Jul 20, 2006
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2922 | TX | Primary |
Addresses
Primary practice location
1055 W Pioneer Pkwy
Grand Prairie, TX 75051-4706
Mailing address
2406 Pebblebrook CT
Grand Prairie, TX 75050-2719
Phone (972) 660-5503
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 601201 | Other | BLUE CROSS BLUE SHIELD # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1790705986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2406 PEBBLEBROOK CT",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750502719",
"telephone_number": "972-660-5503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 W PIONEER PKWY",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750514706",
"telephone_number": "972-660-5141",
"fax_number": "972-660-4563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANKS",
"first_name": "DAVID",
"middle_name": "BLAIR",
"name_prefix": "Dr.",
"credential": "D.C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "2922",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD #",
"identifier": "601201",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Prairie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.