Stanley K Rasmussen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D1899 Issued in ID

Practice address

1800 Lincoln Way
Suite 100
Coeur D Alene, ID 83814-2570

Phone

(208) 765-3322

Fax

(208) 765-1024

NPI assigned

Apr 23, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Associated Dentists of Coeur D'Alene, PA.

  • General Practice Dentistry
  • Coeur D Alene, ID
  • NPI 1841201548
  NPD (past)

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1922273770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 LINCOLN WAY",
            "address_2": "SUITE 100",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142570",
            "telephone_number": "208-765-3322",
            "fax_number": "208-765-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 LINCOLN WAY",
            "address_2": "SUITE 100",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142570",
            "telephone_number": "208-765-3322",
            "fax_number": "208-765-1024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2901 Brooks St Ste A1",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598017723",
            "country_code": "US",
            "telephone_number": "406-541-2886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RASMUSSEN",
        "first_name": "STANLEY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-23",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MT",
            "license": "DEN-DEN-LIC-30744",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D1899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000458500",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raising Resilience Holistic Mental Wellness Inc
• Jason B Ramsrud, LMSW
• Brandi R Randles
• Kerissa Ransbury
• Benjamin Norman Jens Rasmussen, DDS
• Elizabeth Rose Rate
• Rathdrum Clinic, Inc.
• Elizabeth M Rau, M.D.
• Thomas R Rau, MD
• Joshua Michael Raybell, LCPC

• General Practice Dentistry in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.