DR. SAMUEL VAN RITTER D.M.D.
NPI 1770612012
Dentist in Saltillo, MS

Active since March 04, 2007Opted out of Medicare · through May 13, 2027
105 TOWN CREEK DR, SUITE A, SALTILLO, MS 38866(662) 869-2100 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Samuel Van Ritter D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAMUEL VAN RITTER D.M.D. (NPI 1770612012) is an individual dentist in Saltillo, Mississippi, licensed in Mississippi (3266-03) and active in the NPI registry since March 2007. He has opted out of Medicare through May 13, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1770612012
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. SAMUEL VAN RITTERCredential: D.M.D.
Location Address105 TOWN CREEK DR, SUITE ASaltillo, MS 38866-7947
Mailing AddressPo Box 1421Saltillo, MS 38866-1421 · (662) 869-2100 · Fax (662) 869-0069
Sole ProprietorNo
Enumeration DateMarch 4, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1770612012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in MS · 3266-03
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

105 TOWN CREEK DR, Saltillo, MS 38866

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Samuel Van Ritter D.m.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 13, 2015 through May 13, 2027.

Opt-Out Effective DateMay 13, 2015
Opt-Out In Effect ThroughMay 13, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38866 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
105 TOWN CREEK DR
SALTILLO, MS 38866

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Ritter's NPI number?

The NPI number for Samuel Ritter is 1770612012. It was assigned to this individual provider in the NPPES registry on March 4, 2007.

Where is Samuel Ritter located?

Samuel Ritter practices at 105 Town Creek Dr Suite A, Saltillo, MS 38866. The listed phone number is (662) 869-2100.

What is Samuel Ritter's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Samuel Ritter enrolled in Medicare?

No. Samuel Ritter has opted out of Medicare through May 13, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Samuel Ritter accept?

Health plans from Delta Dental PPO, Guardian and Humana list Samuel Ritter as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samuel Ritter was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.