Active NPI
Ritika Bansal
- Dentist
- Washington, DC
National Provider Identifier
1790262079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN123053
- Practice address
- 3401 Georgia Ave NW
Washington, DC 20010-2501 - Phone
- (202) 829-5437
- Fax
- (202) 829-9255
- NPI assigned
- Jul 19, 2018
- Last updated
- May 31, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12264 | CT | |
| Dentist | 122300000X | DEN2000027 | DC | |
| Dentist | 122300000X | DN123053 | GA | Primary |
Addresses
Primary practice location
3401 Georgia Ave NW
Washington, DC 20010-2501
Mailing address
197 Judith LN Apt 1
Waterbury, CT 06704-1944
Phone (317) 650-8604
Other practice location 1
94 Connecticut Blvd
East Hartford, CT 06108-3013
Phone (860) 528-1359
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190221000859 | CT | Order and Referring Only - Dentist | 9931447711 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN2000027 | DC | MD | Dentist |
| DN123053 | GA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685491200000",
"number": "1790262079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "197 JUDITH LN APT 1",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067041944",
"telephone_number": "317-650-8604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 GEORGIA AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200102501",
"telephone_number": "202-829-5437",
"fax_number": "202-829-9255"
}
],
"practiceLocations": [
{
"address_1": "94 Connecticut Blvd",
"address_purpose": "LOCATION",
"city": "East Hartford",
"state": "CT",
"postal_code": "061083013",
"country_code": "US",
"telephone_number": "860-528-1359",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BANSAL",
"first_name": "RITIKA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-19",
"last_updated": "2023-05-31",
"certification_date": "2023-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CT",
"license": "12264",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "DC",
"license": "DEN2000027",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN123053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.