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DR. RALPH JOSEPH LANDRY DDD
NPI 1063503126
Dentist - General Practice in Clarksdale, MS

Active since September 27, 2006PECOS Enrolled
512 1ST ST, CLARKSDALE, MS 38614(662) 624-8114 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 6, 2023, Nov 5, 2021 (2 updates tracked since 2021).

About Dr. Ralph Joseph Landry Ddd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RALPH JOSEPH LANDRY DDD (NPI 1063503126) is an individual general practice provider in Clarksdale, Mississippi, licensed in Mississippi (MS2183-85) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063503126
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. RALPH JOSEPH LANDRYCredential: DDD
Location Address512 1ST STClarksdale, MS 38614-4410
Mailing Address512 1st StClarksdale, MS 38614-4410 · (662) 624-8114
Phone(662) 624-8114
Sole ProprietorYes
Enumeration DateSeptember 27, 2006
Last NPPES UpdateSeptember 6, 20232 updates tracked since enumeration
✔ NPI 1063503126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in MS · MS2183-85✔ Licensed in MS · 2181-85
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
512 1ST ST, Clarksdale, MS 38614
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Other Identifiers 1

Medicaid00060140MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ralph Joseph Landry Ddd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38614 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ralph Landry's NPI number?

The NPI number for Ralph Landry is 1063503126. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Ralph Landry located?

Ralph Landry practices at 512 1st St, Clarksdale, MS 38614. The listed phone number is (662) 624-8114.

What is Ralph Landry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Ralph Landry enrolled in Medicare?

Yes. Ralph Landry is registered in the Medicare PECOS enrollment system.

What insurance does Ralph Landry accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 12 other insurers list Ralph Landry as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ralph Landry was last updated on September 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.