Active NPI
Juan Ramirez
- Dentist
- Placerville, CA
National Provider Identifier
1124981568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 112323
- Practice address
- 3967 Missouri Flat Rd Ste 120
Placerville, CA 95667-5250 - Phone
- (530) 642-2876
- NPI assigned
- Dec 3, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 112323 | CA | Primary |
Addresses
Primary practice location
3967 Missouri Flat Rd Ste 120
Placerville, CA 95667-5250
Mailing address
3967 Missouri Flat Rd Ste 120
Placerville, CA 95667-5250
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stout Dental Corporation | Multi-Specialty | Past | Accepting new patients |
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": "1764720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764720000000",
"number": "1124981568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3967 MISSOURI FLAT RD STE 120",
"city": "PLACERVILLE",
"state": "CA",
"postal_code": "956675250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3967 MISSOURI FLAT RD STE 120",
"city": "PLACERVILLE",
"state": "CA",
"postal_code": "956675250",
"telephone_number": "530-642-2876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMIREZ",
"first_name": "JUAN",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-12-03",
"last_updated": "2025-12-03",
"certification_date": "2025-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "112323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Placerville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.