Ritesh Diwan, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

64550 Issued in CA

Practice address

1204 Cottonwood St Ste No2
Woodland, CA 95695-4362

Phone

(530) 663-8115

NPI assigned

Jun 12, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Diwan DDS Inc

  • Dental Clinic/Center
  • Woodland, CA
  • NPI 1659934206
  NPD Authorized official
• Diwan Dental Inc

  • Dental Clinic/Center
  • Woodland, CA
  • NPI 1518760057
  NPD Authorized official

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1821479171",
    "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": "530-663-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIWAN",
        "first_name": "RITESH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-12",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "64550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amie Diller, CNM
• Devon Robert John Dimercurio, AMFT
• Thuy Dinh-Perez, PHARMD
• Diwan DDS Inc
• Diwan Dental Inc
• Dizon and Lam DMD Inc.
• Theodore DO
• Cynthia Louise Dominessy, D.D.S.
• Amanda Rose Donahue
• Erin Doolittle, MA-SLP, CA LICENSE

• Dentist in Woodland, CA
• Providers in Woodland, CA by specialty
• Dentist in California

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.