Individual provider Active NPI

Amanda Jane Ramage, DMD

  • General Practice Dentistry
  • O'Fallon, MO
National Provider Identifier
1093550295
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2024020972 Issued in MO
Practice address
7827 Town Square Ave Ste 104-1125
O Fallon, MO 63368-7197
Phone
(618) 993-8333
NPI assigned
Jun 28, 2024
Last updated
Jun 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2024020972 MO Primary

Addresses

Primary practice location

7827 Town Square Ave Ste 104-1125
O Fallon, MO 63368-7197

Mailing address

539 Westview Dr
Saint Louis, MO 63130-3824

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20241003000480 MO Practitioner - Dentist 0345771275 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Safari Co Missouri, PC CurrentSince Jun 30, 2024 Accepting new patients
Aria Dental Care PC CurrentSince Aug 22, 2024 Accepting new patients

Locations

8500 W 110th St
Ste 450
Overland Park, KS 66210
Phone (888) 674-1211

7827 Town Square Ave
Ste 1041125
O Fallon, MO 63368
Phone (618) 993-8333

2847 S Ingram Mill Rd
Ste A100
Springfield, MO 65804
Phone (214) 705-2301

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1093550295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 WESTVIEW DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631303824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7827 TOWN SQUARE AVE STE 104-1125",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633687197",
            "telephone_number": "618-993-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMAGE",
        "first_name": "AMANDA",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-28",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2024020972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O'Fallon, MO

Sources for this page

Verify at the official NPI Registry.