Ryan P Lemert, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D9326 Issued in OR

Practice address

10109 US Hwy 12
Randle, WA 98377

Phone

(888) 468-0022

Fax

(541) 504-3907

NPI assigned

Aug 10, 2009

Last updated

Apr 9, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Randle Dental Clinic

  • Dentist
  • Randle, WA
  • NPI 1801143110
  NPD (past) Authorized official
• Advantage Dental Clinics, LLC

  • General Practice Dentistry
  • Redmond, OR
  • NPI 1992935357
  NPD (past)

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

{
    "created_epoch": "1249862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1497987473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977560092",
            "telephone_number": "888-468-0022",
            "fax_number": "541-504-3907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10109 US HWY 12",
            "city": "RANDLE",
            "state": "WA",
            "postal_code": "98377",
            "telephone_number": "888-468-0022",
            "fax_number": "541-504-3907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMERT",
        "first_name": "RYAN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-10",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D9326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daryl Gene Conklin, PAC
• Emily Olivia Dames, PA-C
• Pamala Hedglin, MSW
• Lewis County Fire Protection District 14
• Lewis County Fire Protection District 14 (Randle Fire & EMS)
• Lewis County Hospital District No. 1 (Arbor Health Randle Clinic)
• Lewis County Hospital District No. 1 (Arbor Health Randle Clinic)
• Travis Podbilski, DO

• General Practice Dentistry in Randle, WA
• Providers in Randle, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.