Active NPI
Ritu Kalra, D.D.S
- Pediatric Dentistry
- Fayetteville, NC
National Provider Identifier
1902910656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 7866
- Practice address
- 2029 Valleygate Dr
Suite 201
Fayetteville, NC 28304-3688 - Phone
- (910) 485-8884
- Fax
- (910) 485-8287
- NPI assigned
- Aug 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 7866 | NC | Primary |
Addresses
Primary practice location
2029 Valleygate Dr
Suite 201
Fayetteville, NC 28304-3688
Mailing address
2029 Valleygate Dr
Suite 201
Fayetteville, NC 28304-3688
Phone (910) 485-8884
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89902WU | Medicaid | NC |
Other names 1
- Ritu K Chandak
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 |
|---|---|---|---|
| 7866 | NC | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ryan, James, Wiles, Patel & Olsen LLP | Past | Accepting new patients | |
| Ryan, James, Wiles, Patel & Olsen LLP | Past | Accepting new patients |
Organizations & group practices 2
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
- Fayetteville, NC
- NPI 1346473279
-
- Dentist
- Fayetteville, NC
- NPI 1750495693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902910656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2029 VALLEYGATE DR",
"address_2": "SUITE 201",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043688",
"telephone_number": "910-485-8884",
"fax_number": "910-485-8287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2029 VALLEYGATE DR",
"address_2": "SUITE 201",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043688",
"telephone_number": "910-485-8884",
"fax_number": "910-485-8287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALRA",
"first_name": "RITU",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NC",
"license": "7866",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89902WU",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RITU",
"last_name": "CHANDAK",
"middle_name": "K",
"credential": "D.D.S",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.