DR. ADAM RIDGEWAY DDS
NPI 1992937577
Dentist - Pediatric Dentistry in Lake Elmo, MN

Active since August 17, 2009PECOS Enrolled
8650 HUDSON BLVD N STE 105, LAKE ELMO, MN 55042(651) 760-3681 Get Directions Write a Review

NPPES record last updated: December 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Adam Ridgeway Dds NPPES

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

DR. ADAM RIDGEWAY DDS (NPI 1992937577) is an individual pediatric dentistry provider in Lake Elmo, Minnesota, licensed in Minnesota (D12744) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992937577
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. ADAM RIDGEWAYCredential: DDS
Location Address8650 HUDSON BLVD N STE 105Lake Elmo, MN 55042-8416
Mailing Address2200 County Road C W Ste 2210Roseville, MN 55113-2551 · (651) 746-2815
Sole ProprietorNo
Enumeration DateAugust 17, 2009
Last NPPES UpdateDecember 3, 2020
NPPES CertifiedDecember 3, 2020
NPI 1992937577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in MN · D12744
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
8650 HUDSON BLVD N STE 105, Lake Elmo, MN 55042

Accepted 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. Adam Ridgeway Dds 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 55042 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Orthodontics and Dentofacial Orthopedics)
8650 HUDSON BLVD N STE 105
LAKE ELMO, MN 55042
Dentist (Periodontics)
8650 HUDSON BLVD N STE 105
LAKE ELMO, MN 55042
Dentist (Prosthodontics)
8650 HUDSON BLVD N STE 105
LAKE ELMO, MN 55042

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 Adam Ridgeway's NPI number?

The NPI number for Adam Ridgeway is 1992937577. It was assigned to this individual provider in the NPPES registry on August 17, 2009.

Where is Adam Ridgeway located?

Adam Ridgeway practices at 8650 Hudson Blvd N Ste 105, Lake Elmo, MN 55042. The listed phone number is (651) 760-3681.

What is Adam Ridgeway's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Adam Ridgeway enrolled in Medicare?

Yes. Adam Ridgeway is registered in the Medicare PECOS enrollment system.

What insurance does Adam Ridgeway accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Adam Ridgeway 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 Adam Ridgeway was last updated on December 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.