Aa Bansal PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

602840244 Issued in WA

Legal business name

AA BANSAL PLLC

Doing business as

Pediatric Hospital Dentistry

Practice address

317 Martin Luther King Jr Way
Tacoma, WA 98405-4234

Phone

(253) 326-7777

Fax

(866) 528-2025

NPI assigned

Nov 25, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Shradha BansalNPI 1871745588

Title

Dentist

Phone

(425) 830-4773

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pediatric Hospital Dentistry Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shradha Bansal, DDS

  • Pediatric Dentistry
  • Issaquah, WA
  • NPI 1871745588
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384992000000",
    "number": "1356596811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 WINDSOR DR SE",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980743422",
            "telephone_number": "253-326-7777",
            "fax_number": "866-528-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 MARTIN LUTHER KING JR WAY",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054234",
            "telephone_number": "253-326-7777",
            "fax_number": "866-528-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AA BANSAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-25",
        "last_updated": "2013-11-21",
        "status": "A",
        "authorized_official_last_name": "BANSAL",
        "authorized_official_first_name": "SHRADHA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "425-830-4773",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "602840244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5058490",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Hospital Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• A Step Ahead in Pierce County
• A Step Ahead Physical Therapy LLC
• A Womans Path LLC
• A&I Home Health LLC
• A2 Therapies
• Aaa Residential Services Inc.
• Hanni Laura Larissa Aaltonen, MD, PHD
• Aarika D Anderson Elter PLLC
• Aaron Huston
• Joshua Aarons

• Pediatric Dentistry in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Pediatric Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.