Active NPI
Johann Ramkissoon, DMD
- General Practice Dentistry
- Lake City, FL
National Provider Identifier
1881078343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN21272
- Practice address
- 272 SW Bentley PL
Lake City, FL 32025-6972 - Phone
- (386) 752-3043
- Fax
- (386) 755-1466
- NPI assigned
- Jul 15, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN21272 | FL | Primary |
Addresses
Primary practice location
272 SW Bentley PL
Lake City, FL 32025-6972
Mailing address
255 SW Main Blvd
Lake City, FL 32025-7050
Phone (386) 752-2480
Other practice location 1
255 SW Main Blvd
Lake City, FL 32025-7050
Phone (386) 752-2480
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN21272 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ramkissoon Weiss Dental PLLC | General Practice | Current | Accepting new patients |
| Johann Ramkissoon, PLLC | General Practice | Current | Accepting new patients |
| Melanie Holden, DMD, PLLC | Past | Accepting new patients | |
| Andrews & Wheeler, DMD PA | Past | Accepting new patients |
Locations
272 SW Bentley Pl
Lake City, FL 32025
Phone (386) 752-3043
255 SW Main Blvd
Lake City, FL 32025
Phone (386) 752-2480
Organizations & group practices 4
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.
-
dba Oak Hill Dental Group
- General Practice Dentistry
- Lake City, FL
- NPI 1013657063
-
- Dentist
- Lake City, FL
- NPI 1205187143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683072000000",
"number": "1881078343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 SW MAIN BLVD",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320257050",
"telephone_number": "386-752-2480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "272 SW BENTLEY PL",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320256972",
"telephone_number": "386-752-3043",
"fax_number": "386-755-1466"
}
],
"practiceLocations": [
{
"address_1": "255 SW Main Blvd",
"address_purpose": "LOCATION",
"city": "Lake City",
"state": "FL",
"postal_code": "320257050",
"country_code": "US",
"telephone_number": "386-752-2480",
"fax_number": "386-755-8757",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAMKISSOON",
"first_name": "JOHANN",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-15",
"last_updated": "2023-05-03",
"certification_date": "2023-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN21272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.