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DR. JOSEPH RICHARD BANKER D.M.D.
NPI 1902951585
Dentist - General Practice in Westfield, NJ

Active since January 24, 2007Opted out of Medicare · through Jan 19, 2028
423 SOUTH AVE W, WESTFIELD, NJ 07090(908) 232-0400(908) 232-0401 Get Directions Write a Review

NPPES record last updated: November 22, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Joseph Richard Banker D.m.d. NPPES

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

DR. JOSEPH RICHARD BANKER D.M.D. (NPI 1902951585) is an individual general practice provider in Westfield, New Jersey, licensed in New Jersey (DI19715) and active in the NPI registry since January 2007. He has opted out of Medicare through January 19, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1902951585
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JOSEPH RICHARD BANKERCredential: D.M.D.
Location Address423 SOUTH AVE WWestfield, NJ 07090-1403
Mailing Address423 South Ave WWestfield, NJ 07090-1403 · (908) 232-0400 · Fax (908) 232-0401
Phone(908) 232-0400
Fax(908) 232-0401
Sole ProprietorNo
Enumeration DateJanuary 24, 2007
Last NPPES UpdateNovember 22, 2011
✔ NPI 1902951585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in NJ · DI19715✔ Licensed in NJ · DI19715-01
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.
423 SOUTH AVE W, Westfield, NJ 07090
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Joseph Richard Banker D.m.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 19, 2016 through January 19, 2028.

Opt-Out Effective DateJanuary 19, 2016
Opt-Out In Effect ThroughJanuary 19, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07090 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

CREATIVE DENTAL CARE, PA
Clinic/Center (Dental)
423 SOUTH AVE W
WESTFIELD, NJ 07090
Union County (908) 232-0400
PREMIER CARE DENTISTRY LLC
Dentist
423 SOUTH AVE W
WESTFIELD, NJ 07090
Union County (908) 232-0400

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 Joseph Banker's NPI number?

The NPI number for Joseph Banker is 1902951585. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Where is Joseph Banker located?

Joseph Banker practices at 423 South Ave W, Westfield, NJ 07090. The listed phone number is (908) 232-0400.

What is Joseph Banker's specialty?

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

Is Joseph Banker enrolled in Medicare?

No. Joseph Banker has opted out of Medicare through January 19, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Joseph Banker accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and UnitedHealthcare list Joseph Banker 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 Joseph Banker was last updated on November 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.