James Edwin Ratliff II, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7170 Issued in KY

Practice address

128 Cardinal CT
Salyersville, KY 41465-9114

Phone

(606) 349-2812

Fax

(606) 349-1739

NPI assigned

Jul 27, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Feb 18, 2016 through Feb 18, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164436358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 CARDINAL CT",
            "city": "SALYERSVILLE",
            "state": "KY",
            "postal_code": "414659114",
            "telephone_number": "606-349-2812",
            "fax_number": "606-349-1739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 CARDINAL CT",
            "city": "SALYERSVILLE",
            "state": "KY",
            "postal_code": "414659114",
            "telephone_number": "606-349-2812",
            "fax_number": "606-349-1739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATLIFF",
        "first_name": "JAMES",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "7170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60071701",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prater Drug Inc
• Kristen Predmore, APRN, PMHNP-BC
• Misty Dawn Puckett, CSW
• Jeffery L. Ramey, MHA
• Beth Ann Ratliff, DMD
• Teddy R Rudder, OTR
• Jamie Russell
• Lacy D. Russell, APRN
• Carlee Jlynn Salisbury, APRN, FNP-C
• Salyer Elementary School

• General Practice Dentistry in Salyersville, KY
• Providers in Salyersville, KY by specialty
• General Practice Dentistry in Kentucky

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.