Ritubahldmdpllc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DE00010550 Issued in WA

Legal business name

RITUBAHLDMDPLLC

Practice address

4530 Union Bay PL NE
Suite 207
Seattle, WA 98105-4000

Phone

(206) 524-2000

Fax

(206) 400-2717

NPI assigned

Aug 10, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Ritu Bahl, DMDNPI 1104841923

Title

Dentist/ Manager/ Member

Phone

(206) 524-2000

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• UDistrict Smiles Doing business as

Practitioners 1

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

• Ritu Bahl, DMD

  • General Practice Dentistry
  • Seattle, WA
  • NPI 1104841923
  NPD (past) Authorized official

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470787200000",
    "number": "1801340575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 UNION BAY PL NE",
            "address_2": "SUITE 207",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054000",
            "telephone_number": "206-524-2000",
            "fax_number": "206-400-2717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 UNION BAY PL NE",
            "address_2": "SUITE 207",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054000",
            "telephone_number": "206-524-2000",
            "fax_number": "206-400-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITUBAHLDMDPLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-10",
        "last_updated": "2016-08-10",
        "status": "A",
        "authorized_official_last_name": "BAHL",
        "authorized_official_first_name": "RITU",
        "authorized_official_title_or_position": "DENTIST/ MANAGER/ MEMBER",
        "authorized_official_telephone_number": "206-524-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE00010550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHNGTON STATE DENTAL LICENSE",
            "identifier": "DE00010550",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1104841923",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA DEPARTMENT OF HEALTH",
            "identifier": "HL60500250",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA DEPARTMENT OF HEALTH",
            "identifier": "DH0460208933",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UDistrict Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rite Aid
• Rite Aid
• Madeline Cody Ritter, LICSW
• Michael Joseph Ritter, LMT
• Michelle Ashley Rittereiser, M.S., R.D., C.D.E.
• Frederick P Rivara
• Matthew B Rivara, M.D.
• Evelin Xiomara Rivas Herrera
• Jairo Rivas, DNP
• Madison McNeil Rivas, RDN

• All providers in Seattle, WA
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.