Individual provider Active NPI

Michael Kim Ban, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Rochester, PA
National Provider Identifier
1962482562
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DS022496L Issued in PA
Practice address
450 Adams St
Rochester, PA 15074-1911
Phone
(724) 774-2220
NPI assigned
Jan 19, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DS022496L PA Primary

Addresses

Primary practice location

450 Adams St
Rochester, PA 15074-1911

Mailing address

450 Adams St
Rochester, PA 15074-1911
Phone (724) 774-2220

Other identifiers 1

IdentifierTypeStateIssuer
0008772510001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120622000380 PA Practitioner - Oral SurgeryPractitioner - Maxillofacial Surgery 4688839715 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Beaver, PA; Pittsburgh, PA

Care Compare profile

Medicare Care Compare
Specialty
Oral SurgeryAlso: Maxillofacial Surgery
Education
University of Pittsburgh School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ban Oral and Facial Surgical Associates LLCGroup PAC ID 2961747548, 2 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ban Oral and Facial Surgical Associates LLC Oral and Maxillofacial Surgery CurrentSince Jan 1, 2019 Accepting new patients
Michael K. Ban, DMD Oral and Maxillofacial Surgery PastSince Dec 8, 1982 Accepting new patients

Locations

255 3rd St
Beaver, PA 15009
Phone (724) 728-1700

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1962482562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 ADAMS ST",
            "city": "ROCHESTER",
            "state": "PA",
            "postal_code": "150741911",
            "telephone_number": "724-774-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 ADAMS ST",
            "city": "ROCHESTER",
            "state": "PA",
            "postal_code": "150741911",
            "telephone_number": "724-774-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAN",
        "first_name": "MICHAEL",
        "middle_name": "KIM",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS022496L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008772510001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, PA

Sources for this page

Verify at the official NPI Registry.