Schaumburg Oral & Maxillofacial Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

021001611 DR BANAKIS Issued in IL

Legal business name

SCHAUMBURG ORAL & MAXILLOFACIAL SURGERY

Practice address

999 N Plaza Dr Ste 102
Suite 2N
Schaumburg, IL 60173-5403

Phone

(847) 882-9448

Fax

(847) 882-9496

NPI assigned

Sep 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Mark L Banakis, DDSNPI 1982795324

Title

Oral Surgeon

Phone

(847) 882-9448

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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

• Mark L Banakis, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Schaumburg, IL
  • NPI 1982795324
  NPD (past) Authorized official
• Gregory Edward Doerfler, D.D.S.

  • Oral and Maxillofacial Pathology Dentistry
  • Glen Ellyn, IL
  • NPI 1225114085
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1891887956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 N PLAZA DR STE 102",
            "address_2": "SUITE 2N",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735403",
            "telephone_number": "847-882-9448",
            "fax_number": "847-882-9496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 N PLAZA DR STE 102",
            "address_2": "SUITE 2N",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735403",
            "telephone_number": "847-882-9448",
            "fax_number": "847-882-9496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHAUMBURG ORAL & MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "BANAKIS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "847-882-9448",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "021001611 DR BANAKIS",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "021000892 DR DOEPFLE",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Schaumburg Integrated Medicine, LTD (Ginkgo Healing)
• Schaumburg Interventions & Counseling Center
• Schaumburg Medical Center PC
• Schaumburg Medical Group LLC
• Schaumburg Medicine and Endocrinology
• Schaumburg Podiatry Center, Inc (Schaumburg Foot and Ankle Clinic)
• Schaumburg Skilled Nursing Facility LLC (Bella Terra Schaumburg)
• Schaumburg Spine & Sport PLLC
• Schaumburg Surgery Center, LLC
• Scheck & Siress Prosthetics, Inc

• Oral and Maxillofacial Surgery (Dentist) in Schaumburg, IL
• Providers in Schaumburg, IL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.