Individual provider Active NPI

Michele M Banks, AP RDH

  • Dental Hygienist
  • Phoenix, AZ
National Provider Identifier
1972622165
Registry record updated Apr 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
H1476 Issued in AZ
Practice address
338 N 15TH Ave
Phoenix, AZ 85007-2402
Phone
(602) 971-6535
NPI assigned
Mar 28, 2007
Last updated
Apr 10, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X H1476 AZ Primary

Addresses

Primary practice location

338 N 15TH Ave
Phoenix, AZ 85007-2402

Mailing address

5201 E Grandview Rd
Scottsdale, AZ 85254-1134
Phone (602) 971-6535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
H1476AZMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Home Concepts Current Accepting new patients

Locations

338 N 15th Ave
Phoenix, AZ 85007
Phone (602) 233-3000

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460246400000",
    "number": "1972622165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 E GRANDVIEW RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852541134",
            "telephone_number": "602-971-6535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 N 15TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850072402",
            "telephone_number": "602-971-6535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKS",
        "first_name": "MICHELE",
        "middle_name": "M",
        "credential": "AP RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2016-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "AZ",
            "license": "H1476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

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