Active NPI
Amanda Beth Patterson, D.D.S
- Dentist
- Coeur D Alene, ID
National Provider Identifier
1902211576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D-5629
- Practice address
- 2834 N Ramsey Rd # 102-103
Coeur D Alene, ID 83815-9003 - Phone
- (208) 415-0299
- NPI assigned
- Jun 23, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | D-5629 | ID | Primary |
Addresses
Primary practice location
2834 N Ramsey Rd # 102-103
Coeur D Alene, ID 83815-9003
Mailing address
2834 N Ramsey Rd # 102-103
Coeur D Alene, ID 83815-9003
Phone (208) 667-1546
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777766400000",
"number": "1902211576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2834 N RAMSEY RD # 102-103",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838159003",
"telephone_number": "208-667-1546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2834 N RAMSEY RD # 102-103",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838159003",
"telephone_number": "208-415-0299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "AMANDA",
"middle_name": "BETH",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-23",
"last_updated": "2026-05-03",
"certification_date": "2026-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "ID",
"license": "D-5629",
"primary": true
}
],
"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 May 3, 2026; 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.