Mark L Banakis, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

021001611 Issued in IL

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

Last updated

Oct 19, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 18, 2004 through Mar 18, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Schaumburg Oral & Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Schaumburg, IL
  • NPI 1891887956
  NPD (past) Authorized official

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1982795324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21813 TALL OAK",
            "city": "KILDEER",
            "state": "IL",
            "postal_code": "60047",
            "telephone_number": "847-540-1224"
        },
        {
            "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": {
        "last_name": "BANAKIS",
        "first_name": "MARK",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "021001611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katleya Reyes Baldazo, M.S., R.D., L.D.N
• Eizabeth Balentine, LSW
• Christina Marie Balestreri, DPT
• Muhammad Adnan Balouch
• Amar Bamra
• Grace Banda
• Jacob Bandelaria, DC
• Matthew Bank, PT, DPT
• Tina C Bansal, M.D
• Mayra Barajas, DC

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.