Individual provider Active NPI

Ankur Oswal, D.M.D

  • General Practice Dentistry
  • Worcester, MA
National Provider Identifier
1578902672
Registry record updated Sep 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1856866 Issued in MA
Practice address
456 Park Ave
Worcester, MA 01610-1253
Phone
(508) 799-4555
NPI assigned
Jun 21, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4324 ME
General Practice Dentistry 1223G0001X DN1856866 MA Primary

Addresses

Primary practice location

456 Park Ave
Worcester, MA 01610-1253

Mailing address

3 Regency PLZ Apt 401E
Providence, RI 02903-3111
Phone (404) 630-8729

Other practice location 1

227 Washington St
Attleboro, MA 02703-5554
Phone (508) 399-8879 ext. 2

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170109000237 RI Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 9436430386

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1856866MAMDGeneral Practice Dentistry
4324MEMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Worcester Smile Studio PLLC Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536019200000",
    "number": "1578902672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 REGENCY PLZ APT 401E",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029033111",
            "telephone_number": "404-630-8729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 PARK AVE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016101253",
            "telephone_number": "508-799-4555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "227 Washington St",
            "address_purpose": "LOCATION",
            "city": "Attleboro",
            "state": "MA",
            "postal_code": "027035554",
            "country_code": "US",
            "telephone_number": "508-399-8879 x2",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSWAL",
        "first_name": "ANKUR",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-21",
        "last_updated": "2018-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "4324",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1856866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.