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
Last updated
Jul 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Authorized official

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.

Specialties & licenses 3

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

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

Medicare participation

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

Enrollment records 1

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

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

National Provider Directory

National Provider Directory

Locations

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

2288 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

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

323 N Spokane St
Unit 100
Post Falls, ID 83854
Phone (208) 777-1320

1309 Ponderosa Dr
Ste 101
Sandpoint, ID 83864
Phone (208) 265-0100

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

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "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": [],
    "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.