Neetu Bansal, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN21679 Issued in MA

Practice address

10 Federal St Ste 16
Salem, MA 01970-3875

Phone

(978) 744-1211

Fax

(978) 744-1205

NPI assigned

Oct 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• East Boston Dental and Orthodontics PC

  • General Practice Dentistry
  • East Boston, MA
  • NPI 1104467612
  NPD (past) Authorized official

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1376630145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FEDERAL ST STE 16",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019703875",
            "telephone_number": "978-744-1211",
            "fax_number": "978-744-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FEDERAL ST STE 16",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019703875",
            "telephone_number": "978-744-1211",
            "fax_number": "978-744-1205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Thundermist Health Center",
            "address_2": "191 Social Street",
            "address_purpose": "LOCATION",
            "city": "Woonsocket",
            "state": "RI",
            "postal_code": "02895",
            "country_code": "US",
            "telephone_number": "401-767-4161",
            "fax_number": "401-767-4165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANSAL",
        "first_name": "NEETU",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN21679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bobbi-Jo Baldassari
• Janice Lee Baldwin, MA
• Diana S Balekian, MD MPH
• Alejandra Balen, M.D.
• Rachel Balestraci
• Abeeda Banu
• Banville Optical Inc.
• Olena Barabash, NP-C
• Elizabeth Barakitis, PA-C
• James Barbero

• All providers in Salem, MA
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.