Organization Active NPI

Diwan DDS Inc

  • Dental Clinic/Center
  • Woodland, CA
National Provider Identifier
1659934206
Registry record updated Apr 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DIWAN DDS INC
Practice address
1204 Cottonwood St Ste No2
Woodland, CA 95695-4362
Phone
(408) 373-7653
NPI assigned
Apr 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2020

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

Authorized official

Name
Dr. Ritesh DiwanNPI 1821479171
Title
Dentist
Phone
(530) 662-8115

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1204 Cottonwood St Ste No2
Woodland, CA 95695-4362

Mailing address

1204 Cottonwood St Ste 2
Woodland, CA 95695-4362
Phone (530) 662-8115

National Provider Directory

National Provider Directory

Locations

1204 Cottonwood St
Ste 2
Woodland, CA 95695
Phone (530) 662-8115

1204 Cottonwood St
Ste NO2
Woodland, CA 95695
Phone (408) 373-7653

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1555632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586995200000",
    "number": "1659934206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 COTTONWOOD ST STE 2",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956954362",
            "telephone_number": "530-662-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 COTTONWOOD ST STE NO2",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956954362",
            "telephone_number": "408-373-7653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIWAN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-19",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A",
        "authorized_official_last_name": "DIWAN",
        "authorized_official_first_name": "RITESH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "530-662-8115",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; 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.