Individual provider Active NPI

Pooja Rattan, DDS

  • Pediatric Dentistry
  • Salinas, CA
National Provider Identifier
1598085078
Registry record updated Jun 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
60381 Issued in CA
Practice address
631 E Alvin Dr
Suite C
Salinas, CA 93906-3056
Phone
(831) 442-8878
NPI assigned
Jun 7, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DN1855382 MA
Pediatric Dentistry 1223P0221X 60381 CA Primary

Addresses

Primary practice location

631 E Alvin Dr
Suite C
Salinas, CA 93906-3056

Mailing address

1366 Pierce Ranch Rd
San Jose, CA 95120-4565
Phone (510) 552-3026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20160212000514 CA Order and Referring Only - DentistPractitioner - Dentist 2860796786

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1855382MAMDPediatric Dentist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307664000000",
    "number": "1598085078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1366 PIERCE RANCH RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951204565",
            "telephone_number": "510-552-3026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 E ALVIN DR",
            "address_2": "SUITE C",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939063056",
            "telephone_number": "831-442-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATTAN",
        "first_name": "POOJA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-07",
        "last_updated": "2011-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "DN1855382",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "60381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.