Organization Active NPI

Banks Tendercare Dental PC

  • General Practice Dentistry
  • Banks, OR
National Provider Identifier
1922924323
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BANKS TENDERCARE DENTAL PC
Practice address
12350 NW Main St Ste 104
Banks, OR 97106-9045
Phone
(503) 747-3409
NPI assigned
Jun 29, 2026
Last updated
Aug 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Authorized official

Name
Justin Marostica, DMD
Title
Dentist/Owner
Phone
(503) 858-0741

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

12350 NW Main St Ste 104
Banks, OR 97106-9045

Mailing address

12350 NW Main St Ste 104
Banks, OR 97106-9045
Phone (503) 747-3409

National Provider Directory

National Provider Directory

Locations

12350 NW Main St
Ste 104
Banks, OR 97106

NPI Registry JSON

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

{
    "created_epoch": "1782691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1922924323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12350 NW MAIN ST STE 104",
            "city": "BANKS",
            "state": "OR",
            "postal_code": "971069045",
            "telephone_number": "503-747-3409",
            "fax_number": "503-352-4147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12350 NW MAIN ST STE 104",
            "city": "BANKS",
            "state": "OR",
            "postal_code": "971069045",
            "telephone_number": "503-747-3409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANKS TENDERCARE DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-29",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A",
        "authorized_official_last_name": "MAROSTICA",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "503-858-0741",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Banks, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.