AUDIE MIXON BANKSTON JR. (NPI# 1376635862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376635862 |
| Entity Type | Individual |
| Full Name | AUDIE MIXON BANKSTON JR. |
| Credential | D.D.S |
| Practice Address |
4017 Parliament Dr Alexandria LA 71303-3018 |
| Practice Telephone | 3184424439 |
| Practice Fax Number | 3184427705 |
| Mailing Telephone | 3184424439 |
| Mailing Fax Number | 3184427705 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
2123 | LA | Dental Providers |
| Street Address |
4017 PARLIAMENT DR |
| City | ALEXANDRIA |
| State | LA |
| Zip Code | 71303-3018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346877370 | Victoria Bowie | Peer Specialist | 1405 Peterman Drive Suite A, Alexandria, LA 71303 | 2020-03-27 |
| 1396375051 | Christin Authement | Social Worker | 8326 Kelwood Avenue, Alexandria, LA 71303 | 2020-01-22 |
| 1164904520 | Carissa A Sorenson | Pharmacist | 4448 Jackson St, Alexandria, LA 71303 | 2018-09-02 |
| 1144731027 | Bradly Herman | Counselor | 1450 Peterman Drive, Alexandria, LA 71303 | 2017-10-18 |
| 1669991915 | Rashika Holmes | Counselor | 1538 Chase Dr, Alexandria, LA 71303 | 2017-09-18 |
| 1215466594 | Terraniecya Shepherd | Case Manager/Care Coordinator | 700 Veterans Dr. Apt. 608, Alexandria, LA 71303 | 2017-06-08 |
| 1427587864 | Jason Micheal Lachica | Counselor | 3921 Indpendence Drive Ste 104, Alexandria, LA 71303 | 2017-06-08 |
| 1669929188 | Ryan Knoll | Chiropractor | 5419 Jackson St. Ext. Suite B, Alexandria, LA 71303 | 2016-09-01 |
| 1023464393 | Heart of Hospice, LLC | Hospice Care, Community Based | 1001 Bayou Pl, Alexandria, LA 71303 | 2016-05-05 |
| 1770947764 | Jiquiah White | Counselor | 2016 Innis Dr, Alexandria, LA 71303 | 2016-04-06 |
| Find all providers in zip 71303 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609353499 | Prachi Chandalia | Dentist | 609 E Monroe Ave, Alexandria, VA 22301-3020 | 2018-07-24 |
| 1609291533 | Parker-gray Pediatric Dental Care, PC | Dentist | 224 N Fayette St, Alexandria, VA 22314-2433 | 2014-03-01 |
| 1396186813 | Central Minnesota Pediatric Dentists Pa | Dentist | 507 N Nokomis St Ste C, Alexandria, MN 56308-2353 | 2013-07-12 |
| 1356696850 | Kingstowne Pediatric Dentistry, Pllc | Dentist | 7025d Manchester Blvd, Alexandria, VA 22310-3227 | 2012-07-20 |
| 1558639906 | Pediatric and Adolescent Dentistry PC | Dentist | 4605d Pinecrest Office Park Dr, Alexandria, VA 22312-1442 | 2011-12-13 |
| 1598078776 | Rory Nicholas Silvestri Smith | Dentist | 50 S Pickett St Ste 120, Alexandria, VA 22304-7206 | 2010-07-16 |
| 1689810426 | Kid's Dental Zone Alexandria LLC | Dentist | 616b Macarthur Dr, Alexandria, LA 71303-3111 | 2008-12-29 |
| 1497736185 | Gerald Irwin Frank | Dentist | 5787 Winston Ct, Alexandria, VA 22311-5824 | 2005-11-09 |
| 1285033753 | Bella Dental Pllc | Dentist | 5787 Winston Ct, Alexandria, VA 22311-5824 | 2014-08-20 |
| 1407098619 | Alexandria Pediatric Dentistry - A Partnership | Dentist | 1400 Metro Dr, Ste A, Alexandria, LA 71301-3451 | 2009-04-02 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 71303 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.