Organization
NORTHPARK ORTHOPAEDICS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES JACK BANTA II M.D. (PHYSICIAN)
(214) 987-3434
Entity
Organization
Contact information
Practice address
8220 WALNUT HILL LN, SUITE 608, DALLAS, TX 75231-4427
(214) 987-3434
(214) 987-3799
Mailing address
8220 WALNUT HILL LN, SUITE 608, DALLAS, TX 75231-4427
(214) 987-3434
(214) 987-3799
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
J0438
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CZ0012
RAILROAD MEDICARE
TX
Enumeration date
04/23/2007
Last updated
10/29/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up