Active NPI
Ankur Bansal
- Dentist
- Waldorf, MD
National Provider Identifier
1699681791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 18956
- Practice address
- 83 High St Ste a
Waldorf, MD 20602-2191 - Phone
- (301) 645-3601
- NPI assigned
- Aug 20, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 18956 | MD | Primary |
Addresses
Primary practice location
83 High St Ste a
Waldorf, MD 20602-2191
Mailing address
45670 Marlborough PL
Novi, MI 48377-3896
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1699681791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45670 MARLBOROUGH PL",
"city": "NOVI",
"state": "MI",
"postal_code": "483773896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "83 HIGH ST STE A",
"city": "WALDORF",
"state": "MD",
"postal_code": "206022191",
"telephone_number": "301-645-3601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANSAL",
"first_name": "ANKUR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-08-20",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "18956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waldorf, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.