Columbia Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

015876 Issued in MO

Legal business name

COLUMBIA ORTHODONTICS

Practice address

1060 Admiral Weinel Blvd
Columbia, IL 62236-1988

Phone

(618) 281-3399

Fax

(618) 281-3390

NPI assigned

Mar 19, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brent Dee Bankhead, DDS, MS

Title

Doctor

Phone

(618) 281-3399

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962526277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 ADMIRAL WEINEL BLVD",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622361988",
            "telephone_number": "618-281-3399",
            "fax_number": "618-281-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 ADMIRAL WEINEL BLVD",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622361988",
            "telephone_number": "618-281-3399",
            "fax_number": "618-281-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BANKHEAD",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "DEE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "618-281-3399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MO",
            "license": "015876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Columbia Convalescent Center
• Columbia Dental Care LTD
• Columbia Dental Center LLC
• Columbia Doctors Group, SC
• Columbia Family Chiropractic, PLLC
• Columbia Rehab Specialists, LLC
• Columbia Rehabilitation and Nursing Center, LLC
• Ashley Nicole Conway
• Mariel Cotton
• Rick D. Cox, DMD

• Orthodontics and Dentofacial Orthopedics Dentistry in Columbia, IL
• Providers in Columbia, IL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.