COLUMBIA ORTHODONTICS (NPI# 1962526277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962526277 |
| Entity Type | Organization |
| Organization Name | COLUMBIA ORTHODONTICS |
| Practice Address |
1060 Admiral Weinel Blvd Columbia IL 62236-1988 |
| Practice Telephone | 6182813399 |
| Practice Fax Number | 6182813390 |
| Mailing Telephone | 6182813399 |
| Mailing Fax Number | 6182813390 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. BRENT DEE BANKHEAD (DOCTOR) |
| Authorized Official Telephone | 6182813399 |
| Authorized Official Credential | DDS, MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
015876 | MO | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | COLUMBIA ORTHODONTICS | 650 N 1st St Ste C, Hermiston, OR 97838 |
| Washington State Corporations | COLUMBIA ORTHODONTICS, PC | 14201 Ne 20th Ave Ste C103, Vancouver, WA 98686-6414 |
| Street Address |
1060 ADMIRAL WEINEL BLVD |
| City | COLUMBIA |
| State | IL |
| Zip Code | 62236-1988 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295153641 | Orthodontic Associates of Columbia and Waterloo | Dentist | 1060 Admiral Weinel Blvd, Columbia, IL 62236-1988 | 2014-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962937300 | Assoicated Physicians Group Ltd | Nurse Practitioner | 1011 South, Suite 3b, Columbia, IL 62236 | 2017-04-24 |
| 1316284854 | Robert Siekerka | Pharmacist | 1412 N Evergreen Ln, Columbia, IL 62236 | 2013-01-03 |
| 1972874352 | Jennifer Harlin Wilhelm | Veterinarian | 1400 Columbia Center Drive, Bellson Animal Hospital, Columbia, IL 62236 | 2012-01-18 |
| 1912275314 | Synergy Therapeutics, PC | Dentist | 1000 Eleven South, Suite 3f, Columbia, IL 62236 | 2011-12-13 |
| 1134455991 | Julie Williams | Skilled Nursing Facility | 3 Eagle Crest Court, Columbia, IL 62236 | 2009-10-28 |
| 1831311158 | Lifetime Dental Care of Illinois, PC | Dentist | 240 Southwoods Centre Drive, Columbia, IL 62236 | 2007-05-03 |
| 1730301268 | Affordable Dentistry Today, PC | Dentist | 242 Southwoods Centre Drive, Columbia, IL 62236 | 2007-05-03 |
| 1710109616 | Jason Clay King | Chiropractor | 117 West Cedar Street, Columbia, IL 62236 | 2007-05-02 |
| 1184704900 | Mitan Pediatric Therapy Inc | Occupational Therapist | 891 Meadowview Lane, Columbia, IL 62236 | 2006-10-16 |
| 1265528368 | Kathryn Ann Mager | Counselor | 9273 Coach Stop Road, Columbia, IL 62236 | 2006-10-05 |
| Find all providers in zip 62236 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194332619 | Candid South Carolina, P.C. | Dentist | 136-4 Forum Drive #a20, Columbia, SC 29229 | 2020-09-29 |
| 1609412592 | Nuclear Smiles LLC | Dentist | 10100 Twin Rivers Rd Apt 121, Columbia, MD 21044-2578 | 2019-11-26 |
| 1164959524 | Mariel Cotton | Dentist | 840 Admiral Weinel Blvd, Columbia, IL 62236-1992 | 2017-05-16 |
| 1730409152 | Barbara G. Halpern | Dentist | 5570 Sterrett Place, Suite 301, Columbia, MD 21044 | 2010-06-08 |
| 1477796118 | Columbia Orthodontics, PC | Dentist | 1324 Trotwood Ave Ste 1, Columbia, TN 38401-4750 | 2009-04-10 |
| 1598914525 | The Dental Specialty Center, LLC | Dentist | 303 N Keene St Ste 210, Columbia, MO 65201-7193 | 2008-09-15 |
| 1033310685 | Kerry White Brown | Dentist | 224 Oneil Ct Ste 13, Columbia, SC 29223-7649 | 2007-05-30 |
| 1063631711 | Kerry White Brown, Dds, PC | Dentist | 224 Oneil Ct, Suite 13, Columbia, SC 29223-7649 | 2007-04-24 |
| 1326178716 | Kent Wingard Washington | Dentist | 7621 Trenholm Road Ext, Columbia, SC 29223-1719 | 2007-03-06 |
| 1225180300 | Robinson Orthodontics | Dentist | 1609 Chapel Hill Rd, Suite B, Columbia, MO 65203-6368 | 2007-01-17 |
| Find all providers in COLUMBIA | ||||
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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.