CARLEY BANKS (NPI# 1023541695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023541695 |
| Entity Type | Individual |
| Full Name | CARLEY BANKS |
| Other Name | CARLEY BANKS |
| Credential | A.D.T |
| Practice Address |
1575 20th St Nw Faribault MN 55021 |
| Mailing Address |
1575 20th St Nw Ste 102 Faribault MN 55021-2930 |
| Practice Telephone | 5073346433 |
| Mailing Telephone | 5073346433 |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2018-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 125K00000X | Advanced Practice Dental Therapist | DT17 | MN | Dental Providers |
| Street Address |
1575 20TH ST NW |
| City | FARIBAULT |
| State | MN |
| Zip Code | 55021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902931199 | Legacy Anesthesia Services, Pllc | Clinic/Center | 1575 20th St Nw, Suite 203, Faribault, MN 55021 | 2007-02-21 |
| 1033642947 | Lauren Johnson | Advanced Practice Dental Therapist | 1575 20th St Nw, Suite 102, Faribault, MN 55021-2930 | 2017-04-07 |
| 1215479530 | Tareen Dermatology, Pa | Non-Pharmacy Dispensing Site | 1575 20th St Nw, Faribault, MN 55021-2930 | 2016-11-17 |
| 1073900718 | Angella Schaefer | Optometrist | 1575 20th St Nw, Suite 101, Faribault, MN 55021-2930 | 2015-04-21 |
| 1104256106 | Michelle Storlie | Dental Therapist | 1575 20th St Nw, Suite 102, Faribault, MN 55021-2930 | 2013-11-13 |
| 1962840520 | Kathleen Baker Gerber | Dentist | 1575 20th St Nw, Suite 102, Faribault, MN 55021-2930 | 2013-06-05 |
| 1386924231 | Sound Sleep Centers | Clinic/Center | 1575 20th St Nw, Suite 209, Faribault, MN 55021-2930 | 2011-08-24 |
| 1174834022 | Misty Purfeerst | Optometrist | 1575 20th St Nw, Ste 101, Faribault, MN 55021-2930 | 2010-06-25 |
| 1306018544 | King Orthodontics Ltd | Clinic/Center | 1575 20th St Nw, Suite 202, Faribault, MN 55021-2930 | 2008-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872831 | Kent William Lundstrom | Pharmacist | 612 4th Street Nw, Faribault, MN 55021 | 2020-08-19 |
| 1053957357 | M&t Sisters of Serendipity Pllc | Counselor | 212a Centralave, Faribault, MN 55021 | 2019-11-21 |
| 1639720485 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 200 8th Avenue Nw, Faribault, MN 55021 | 2019-09-24 |
| 1235663428 | Tanya Borchert | Social Worker | 100 State Avenue, Faribault, MN 55021 | 2017-04-14 |
| 1235589854 | Bashir Omar I | Interpreter | 2426 Park Ave # 309, Faribault, MN 55021 | 2016-06-14 |
| 1790150381 | Rainbow United Care Transportation LLC | Non-emergency Medical Transport (VAN) | 1738 Patrick Bay, Faribault, MN 55021 | 2015-12-08 |
| 1740625938 | Steven James Klapmeier | Family Medicine | 1101 Linden Lane, Mcfffrb Health Service, Faribault, MN 55021 | 2013-05-02 |
| 1528306040 | Discovery Public School of Faribault | Local Education Agency (LEA) | 126 8th St. Nw, Faribault, MN 55021 | 2013-01-17 |
| 1164790374 | Emmanuel Douah | Pharmacist | 612 4th Avenue Nw, Faribault, MN 55021 | 2011-12-02 |
| 1770873937 | Faribault Senior Living LLC | Assisted Living Facility | 843 Faribault Road, Faribault, MN 55021 | 2011-04-08 |
| Find all providers in zip 55021 | ||||
| Taxonomy Code | 125K00000X |
| Grouping | Dental Providers |
| Classification | Advanced Practice Dental Therapist |
| An Advanced Practice Dental Therapist is: (1) A dental therapist who has completed additional training beyond basic dental therapy education and provides dental services in accordance with state advanced practice dental therapist laws or statutes; or (2) A dental hygienist with a graduate degree in advanced dental therapy prepared for independent and interdependent decision making and direct accountability for clinical judgment across the dental health care continuum. The individual has been authorized by the relevant state board or a tribal entity to provide services under the remote supervision of a dentist. The functions of the advanced practice dental therapist vary based on the needs of the dentist, the educational preparation of the advanced practice dental therapist and state dental practice acts and regulations. |
| Notes: Source: Summarized from Minnesota Statute 150A.106. [7/1/2012: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033642947 | Lauren Johnson | Advanced Practice Dental Therapist | 1575 20th St Nw, Suite 102, Faribault, MN 55021-2930 | 2017-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578117438 | Christina Marie Hubred | Advanced Practice Dental Therapist | Miskovich Dental Clinic, 1121 Se 4th Avenue, Grand Rapids, MN 55744 | 2019-07-30 |
| 1144733130 | Lydia J Diekmann | Advanced Practice Dental Therapist | 2711 Broadway Ave Ste A00, Slayton, MN 56172-1313 | 2017-11-13 |
| 1073872503 | Brieanne Kelsey Borntrager | Advanced Practice Dental Therapist | 13899 Hwy 13 S Frnt Rd, Savage, MN 55378-2135 | 2012-05-03 |
| 1063953032 | Ashley Hueman | Advanced Practice Dental Therapist | 973 Skyline Dr Sw, Rochester, MN 55902-1220 | 2017-03-10 |
| 1124483656 | Tanu Dhoopar | Advanced Practice Dental Therapist | 3152 Minnehaha Ave, Minneapolis, MN 55406-1934 | 2015-12-29 |
| 1548631187 | Kaitlin Siewert | Advanced Practice Dental Therapist | 520 Main Street, Hawley, MN 56549 | 2015-10-08 |
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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.