Individual provider Active NPI

Joshua W. Ratcliff, DDS

  • Dentist
  • Richmond, IN
National Provider Identifier
1093152175
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12011955A Issued in IN
Practice address
1429 Chester Blvd Ste B
Richmond, IN 47374-1919
Phone
(765) 935-7233
Fax
(765) 935-7236
NPI assigned
May 29, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12011955A IN Primary

Addresses

Primary practice location

1429 Chester Blvd Ste B
Richmond, IN 47374-1919

Mailing address

1429 Chester Blvd Ste B
Richmond, IN 47374-1919
Phone (765) 935-7233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20150602000618 IN Order and Referring Only - DentistPractitioner - Dentist 9436470564

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12011955AINMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifetime Dental Care of Indiana, PC Past Accepting new patients
Dental Professionals of Indiana, P.C. Past Accepting new patients
Dental Professionals of Indiana, P.C. Past Accepting new patients

Organizations & group practices 3

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": "1369785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369785600000",
    "number": "1093152175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 CHESTER BLVD STE B",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741919",
            "telephone_number": "765-935-7233",
            "fax_number": "765-935-7236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 CHESTER BLVD STE B",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741919",
            "telephone_number": "765-935-7233",
            "fax_number": "765-935-7236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATCLIFF",
        "first_name": "JOSHUA",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-29",
        "last_updated": "2013-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12011955A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, IN

Sources for this page

Verify at the official NPI Registry.