DR. SHRADHA BANSAL (NPI# 1871745588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871745588 |
| Entity Type | Individual |
| Full Name | DR. SHRADHA BANSAL |
| Credential | DDS |
| Practice Address |
85 Nw Alder Pl Ste B Issaquah WA 98027-3201 |
| Mailing Address |
615 Windsor Dr Se Sammamish WA 98074-3422 |
| Practice Telephone | 4256570609 |
| Practice Fax Number | 8665282025 |
| Mailing Telephone | 4258304773 |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DE00008920 | WA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 615 Windsor Dr Se, Sammamish, WA 980743422 | 4258304773 |
| Street Address |
85 NW ALDER PL STE B |
| City | ISSAQUAH |
| State | WA |
| Zip Code | 98027-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281840 | Cascade Hand & Orthopedic Rehab, Inc. | Clinic/Center | 1301 4th Avenue Nw, Suite 200, Issaquah, WA 98027 | 2020-10-01 |
| 1700494630 | Genevieve S Ward | Counselor | 22500 Se 64th Place, Building G, Suite 150, Issaquah, WA 98027 | 2020-07-16 |
| 1891338604 | Amy Mezulis | Psychologist | 1740 Nw Maple St. #210, Issaquah, WA 98027 | 2019-10-24 |
| 1578055083 | Vivian Yu-en Hsiao | Physical Therapist | 1301 4th Ave Nw Ste 300, Issaquah, WA 98027 | 2018-05-31 |
| 1831698000 | Peter James Carlson | Physical Therapist | 22500 Se 64th Place, Building G, Suite 115, Issaquah, WA 98027 | 2018-02-02 |
| 1902323553 | David Robert Primrose | Dentist | 600 Nw Gilman Blvd Ste B, Issaquah, WA 98027 | 2017-08-24 |
| 1083135446 | Tara Rose | Massage Therapist | 680 Nw Gilman Blvd., Ste. A, Issaquah, WA 98027 | 2017-07-06 |
| 1295276194 | Amy Davenport | Occupational Therapist | 1871 Nw Gilman Blvd #2, Issaquah, WA 98027 | 2017-03-13 |
| 1942751771 | Krista L Gibbons | Counselor | 1700 Nw Blvd, Suite #200, Issaquah, WA 98027 | 2016-10-17 |
| 1376903237 | Kari Wathen Torres | Occupational Therapist | 710 Nw Juniper St Ste 100, Issaquah, WA 98027 | 2016-03-03 |
| Find all providers in zip 98027 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669994042 | Annikka Louise Frostad-thomas | Dentist | 700 Nw Gilman Blvd # E412, Issaquah, WA 98027-5395 | 2017-07-07 |
| 1013247394 | Shadi Mohammadi Araghi Pllc | Dentist | 2520 Ne Park Drive, Suite C, Issaquah, WA 98029 | 2010-01-08 |
| 1770635948 | Thoa V Nguyen | Dentist | 670 Nw Gilman Blvd, Ste B3, Issaquah, WA 98027-2444 | 2007-01-17 |
| 1669560686 | Sally Sue Martinen Lombardi | Dentist | 185 Ne Gilman Blvd, Issaquah, WA 98027-2937 | 2006-10-11 |
| 1538603808 | Highlands Kids Dentistry and Orthodontics | Dentist | 2525 Ne Park Dr, Ste#b, Issaquah, WA 98029-2642 | 2016-12-06 |
| 1831423292 | Eastside Pediatric Dental Group, Pllc | Dentist | 185 Ne Gilman Blvd, Issaquah, WA 98027-2937 | 2009-10-01 |
| 1194840892 | Dawn Woo-huysing, Dmd, Msd, Pllc | Dentist | 710 Nw Juniper St, Suite 208, Issaquah, WA 98027-2717 | 2007-03-20 |
| 1306911383 | Tarja Kaakko | Dentist | 700 Nw Gilman Blvd, Suite E-103, #493, Issaquah, WA 98027-5395 | 2006-11-22 |
| 1013098672 | John Richard Liu | Dentist | 185 Ne Gilman Blvd, Issaquah, WA 98027-2937 | 2006-10-18 |
| 1063501096 | Donna Jean Quinby | Dentist | 185 Ne Gilman Blvd, Issaquah, WA 98027-2937 | 2006-10-11 |
| Find all providers in ISSAQUAH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.