Active NPI
Ritu Salwan
- Dentist
- Fairfield, CA
National Provider Identifier
1871832097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE60154107
- Practice address
- 1955 W Texas St
Suite 12
Fairfield, CA 94533-4462 - Phone
- (707) 428-5400
- NPI assigned
- Feb 7, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE60154107 | WA | Primary |
| General Practice Dentistry | 1223G0001X | 64813 | CA |
Addresses
Primary practice location
1955 W Texas St
Suite 12
Fairfield, CA 94533-4462
Mailing address
1507 S. 348TH Street
Suite K-102
Federal Way, WA 98003
Phone (253) 835-3377
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871832097 | Other | CA | NPI |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE60154107 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Dental Services, Inc. | Dentist | Current | Accepting new patients |
Locations
2537 S Euclid Ave
Ste A
Ontario, CA 91762
Phone (909) 284-5210
Organizations & group practices 1
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.
-
- Dentist
- Ontario, CA
- NPI 1568063634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475712000000",
"number": "1871832097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1507 S. 348TH STREET",
"address_2": "SUITE K-102",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "98003",
"telephone_number": "253-835-3377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1955 W TEXAS ST",
"address_2": "SUITE 12",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945334462",
"telephone_number": "707-428-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALWAN",
"first_name": "RITU",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-07",
"last_updated": "2016-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE60154107",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "64813",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1871832097",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.