Individual provider Active NPI

Ruchi Bhan, DDS

  • General Practice Dentistry
  • Ventura, CA
National Provider Identifier
1174654180
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
55103 Issued in CA
Practice address
200 S Wells Rd # 200
Ventura, CA 93004-1302
Phone
(805) 659-1740
NPI assigned
Mar 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 55103 CA Primary

Addresses

Primary practice location

200 S Wells Rd # 200
Ventura, CA 93004-1302

Mailing address

511 E 3Rd St Ste 260
Bethlehem, PA 18015-2072
Phone (267) 446-1768

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20231017000039 PA Practitioner - Dentist 0941568638 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Star Community Health, Inc CurrentSince Jul 17, 2023 Accepting new patients
Star Community Health, Inc CurrentSince Jul 17, 2023 Accepting new patients
St. Luke'S Physician Group, Inc Past Accepting new patients

Locations

511 E 3rd St
Ste 260
Bethlehem, PA 18015
Phone (484) 526-2460

511 E 3rd St
Ste 301
Bethlehem, PA 18015
Phone (484) 526-2460

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Interoperability endpoints

  • Direct secure messaging: ruchi.bhan@slpg.direct-sluhn.org

Organizations & group practices 3

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": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1174654180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 E 3RD ST STE 260",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180152072",
            "telephone_number": "267-446-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S WELLS RD # 200",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930041302",
            "telephone_number": "805-659-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAN",
        "first_name": "RUCHI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.