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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. THOMAS M. BANTA D.D.S.
NPI 1407835382
Dentist - General Practice in Portland, IN

Active since January 10, 2006PECOS Enrolled
1413 W VOTAW ST, PORTLAND, IN 47371(260) 726-7822(260) 726-3513 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Thomas M. Banta D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THOMAS M. BANTA D.D.S. (NPI 1407835382) is an individual general practice provider in Portland, Indiana, licensed in Indiana (8772) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407835382
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. THOMAS M. BANTACredential: D.D.S.
Location Address1413 W VOTAW STPortland, IN 47371-9501
Mailing Address2786 S Butternut Creek DrPortland, IN 47371-8740 · (260) 726-7822 · Fax (260) 726-3513
Phone(260) 726-7822
Fax(260) 726-3513
Sole ProprietorNo
Enumeration DateJanuary 10, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1407835382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IN · 8772
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1413 W VOTAW ST, Portland, IN 47371
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Thomas M. Banta D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47371 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THOMAS M. BANTA, D.D.S., PC
Dentist (General Practice)
1413 W VOTAW ST
PORTLAND, IN 47371
Jay County (260) 726-7822
VORMOHR FAMILY DENTISTRY LLC
Dentist (General Practice)
1413 W VOTAW ST
PORTLAND, IN 47371
Jay County (260) 726-7822

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Banta's NPI number?

The NPI number for Thomas Banta is 1407835382. It was assigned to this individual provider in the NPPES registry on January 10, 2006.

Where is Thomas Banta located?

Thomas Banta practices at 1413 W Votaw St, Portland, IN 47371. The listed phone number is (260) 726-7822.

What is Thomas Banta's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Thomas Banta enrolled in Medicare?

Yes. Thomas Banta is registered in the Medicare PECOS enrollment system.

What insurance does Thomas Banta accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 3 other insurers list Thomas Banta as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thomas Banta was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.