Active NPI
Ruslan Zmievschi, D.D.S.
- Dentist
- Lotus, CA
National Provider Identifier
1649629502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 103074
- Practice address
- 7170 Ca-49
Lotus, CA 95651-9565 - Phone
- (530) 621-0900
- NPI assigned
- Jun 10, 2016
- Last updated
- Nov 7, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coloma Dental Office of Ruslan Zmievschi, Inc | Current | 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.
-
- General Practice Dentistry
- Lotus, CA
- NPI 1184249583
-
- General Practice Dentistry
- Hohenwald, TN
- NPI 1174972384
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.