Individual provider Active NPI

Ritu Salwan

  • Dentist
  • Fairfield, CA
National Provider Identifier
1871832097
Registry record updated Oct 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60154107 Issued in WA
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

Updated by the provider on Oct 6, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1871832097OtherCANPI

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

LicenseStateTypeSpecialty
DE60154107WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Western Dental Services, Inc. Dentist CurrentSince Nov 8, 2020 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.

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.

Verify at the official NPI Registry.