NPIMap

Organization Active NPI

North Idaho Dermatology, Inc.

  • Dermatology Physician
  • Coeur D Alene, ID
National Provider Identifier
1215936638
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
NORTH IDAHO DERMATOLOGY, INC.
Practice address
2199 N Merritt Creek Loop
Coeur D Alene, ID 83814-4949
Phone
(208) 665-7546
Fax
(208) 667-4607
NPI assigned
Jul 18, 2005
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Benjamin C Ringger, MDNPI 1013170125
Title
Owner
Phone
(208) 665-7546

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
13D0966533North Idaho Dermatology2199 N Merritt Creek Loop, Coeur D'Alene, ID 83814ComplianceMay 29, 2028

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20041101000539 ID Part B Supplier - Clinic/Group Practice 2365404431 Receives reassigned benefits from 15 practitioners
Practice locations: Coeur D Alene, ID; Moscow, ID; Ponderay, ID; Post Falls, ID

National Provider Directory

National Provider Directory

Locations

2288 N Merritt Creek Loop
Coeur D Alene, ID 83814
Phone (208) 665-7546

2199 N Merritt Creek Loop
Coeur D Alene, ID 83814
Phone (208) 665-7546

619 S Washington St
Ste 302
Moscow, ID 83843
Phone (208) 665-7546

476394 Highway 95
Ste 300
Ponderay, ID 83852

30410 Highway 200
Ste 101
Ponderay, ID 83852
Phone (208) 263-1345

23801 E Appleway Ave
Liberty Lake, WA 99019
Phone (208) 665-7546

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X Primary
Dermatopathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ND0900X
Advanced Practice MidwifeGroup: 193200000X MULTI-SPECIALTY GROUP 367A00000X

Addresses

NPPES NPI Registry

Primary practice location

2199 N Merritt Creek Loop
Coeur D Alene, ID 83814-4949

Mailing address

2199 N Merritt Creek Loop
Coeur D Alene, ID 83814-4949
Phone (208) 665-7546

Other identifiers 4

NPPES NPI Registry
IdentifierTypeStateIssuer
003663100MedicaidID
805487300MedicaidID
805947800MedicaidID
806523200MedicaidID

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 9, 2026.

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1215936638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2199 N MERRITT CREEK LOOP",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144949",
            "telephone_number": "208-665-7546",
            "fax_number": "208-667-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2199 N MERRITT CREEK LOOP",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144949",
            "telephone_number": "208-665-7546",
            "fax_number": "208-667-4607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH IDAHO DERMATOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-18",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "RINGGER",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-665-7546",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003663100",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805487300",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805947800",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806523200",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur D Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.