Individual provider Active NPI

Lady-Jean M Ramsey, DMD

  • General Practice Dentistry
  • Hayden, ID
National Provider Identifier
1194720045
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D5329 Issued in ID
Practice address
9095 N Hess St Ste 201
Hayden, ID 83835-9827
Phone
(208) 772-4500
NPI assigned
Jun 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D5329 ID Primary
General Practice Dentistry 1223G0001X D7608 OR

Addresses

Primary practice location

9095 N Hess St Ste 201
Hayden, ID 83835-9827

Mailing address

9095 N Hess St Ste 201
Hayden, ID 83835-9827
Phone (208) 772-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20150605002422 OR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8325227184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D5329IDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ramsey Dental Group PLLC General Practice CurrentSince Jun 18, 2023 Accepting new patients
Keizer Rapids Dental, LLC General Practice PastSince Dec 12, 2021 Accepting new patients
Lady Jean M. Ramsey, DMD, LLC General Practice Past Accepting new patients

Locations

9095 N Hess St
#201
Hayden, ID 83835
Phone (208) 762-3843

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1194720045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9095 N HESS ST STE 201",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838359827",
            "telephone_number": "208-772-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9095 N HESS ST STE 201",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838359827",
            "telephone_number": "208-772-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMSEY",
        "first_name": "LADY-JEAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D5329",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D7608",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayden, ID

Sources for this page

Verify at the official NPI Registry.