Individual provider Active NPI

Ritu Dayal Singh Deo, DMD

  • General Practice Dentistry
  • Madera, CA
National Provider Identifier
1396147807
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
107342 Issued in CA
Practice address
620 W Yosemite Ave
Madera, CA 93637-4523
Phone
(559) 673-7700
NPI assigned
Sep 16, 2014
Sex
Female
Sole proprietor
No

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

State licenses

LicenseStateTypeSpecialty
011191CTMDClinical Social Worker

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 011191 CT
General Practice Dentistry 1223G0001X 107342 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

620 W Yosemite Ave
Madera, CA 93637-4523

Mailing address

620 W Yosemite Ave
Madera, CA 93637-4523
Phone (559) 673-7700

Other practice location 1

96 E Main St
New Britain, CT 06051-1944
Phone (860) 223-2000

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 29, 2022.

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1396147807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 W YOSEMITE AVE",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936374523",
            "telephone_number": "559-673-7700",
            "fax_number": "559-673-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W YOSEMITE AVE",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936374523",
            "telephone_number": "559-673-7700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "96 E Main St",
            "address_purpose": "LOCATION",
            "city": "New Britain",
            "state": "CT",
            "postal_code": "060511944",
            "country_code": "US",
            "telephone_number": "860-223-2000",
            "fax_number": "860-223-2004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEO",
        "first_name": "RITU DAYAL",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-16",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "011191",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "107342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madera, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.