Individual provider Active NPI

Ruslan Zmievschi, D.D.S.

  • Dentist
  • Lotus, CA
National Provider Identifier
1649629502
Registry record updated Nov 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
103074 Issued in CA
Practice address
7170 Ca-49
Lotus, CA 95651-9565
Phone
(530) 621-0900
NPI assigned
Jun 10, 2016
Last updated
Nov 7, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 103074 CA Primary

Addresses

Primary practice location

7170 Ca-49
Lotus, CA 95651-9565

Mailing address

PO Box 944
Lotus, CA 95651-0944
Phone (530) 621-0900

Other practice location 1

20 E Main St
Hohenwald, TN 38462-1420
Phone (931) 796-7577

Other practice location 2

228 Pulaski St
Lawrenceburg, TN 38464-3312
Phone (931) 762-3901

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coloma Dental Office of Ruslan Zmievschi, Inc CurrentSince Jun 1, 2020 Accepting new patients
Wellness Family Dentistry Past Accepting new patients

Locations

7170 State Highway 49
Lotus, CA 95651
Phone (530) 621-0900

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1649629502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 944",
            "city": "LOTUS",
            "state": "CA",
            "postal_code": "956510944",
            "telephone_number": "530-621-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7170 CA-49",
            "city": "LOTUS",
            "state": "CA",
            "postal_code": "956519565",
            "telephone_number": "530-621-0900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 E Main St",
            "address_purpose": "LOCATION",
            "city": "Hohenwald",
            "state": "TN",
            "postal_code": "384621420",
            "country_code": "US",
            "telephone_number": "931-796-7577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "228 Pulaski St",
            "address_purpose": "LOCATION",
            "city": "Lawrenceburg",
            "state": "TN",
            "postal_code": "384643312",
            "country_code": "US",
            "telephone_number": "931-762-3901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZMIEVSCHI",
        "first_name": "RUSLAN",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-10",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "103074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lotus, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; 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.