Organization Active NPI

Michael K. Ban, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Pittsburgh, PA
National Provider Identifier
1881043792
Registry record updated Jun 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DS022496L Issued in PA
Legal business name
MICHAEL K. BAN, DMD
Practice address
4725 McKnight Rd
Suite 209
Pittsburgh, PA 15237-3414
Phone
(412) 367-3020
Fax
(412) 367-5940
NPI assigned
Jun 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2016

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

Authorized official

Name
Mr. Michael K. Ban, DMDNPI 1962482562
Title
Doctor/Owner
Phone
(412) 367-3020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X DS022496L PA Primary

Addresses

Primary practice location

4725 McKnight Rd
Suite 209
Pittsburgh, PA 15237-3414

Mailing address

4725 McKnight Rd
Suite 209
Pittsburgh, PA 15237-3414
Phone (412) 367-3020

Other identifiers 1

IdentifierTypeStateIssuer
0008772510002MedicaidPA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465516800000",
    "number": "1881043792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 MCKNIGHT RD",
            "address_2": "SUITE 209",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152373414",
            "telephone_number": "412-367-3020",
            "fax_number": "412-367-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4725 MCKNIGHT RD",
            "address_2": "SUITE 209",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152373414",
            "telephone_number": "412-367-3020",
            "fax_number": "412-367-5940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL K. BAN, DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-10",
        "last_updated": "2016-06-10",
        "status": "A",
        "authorized_official_last_name": "BAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "412-367-3020",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS022496L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008772510002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; 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.