Melissa Ravago, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DD2907 Issued in NM

Practice address

8400 Osuna Rd NE Ste 2B
Albuquerque, NM 87111-2069

Phone

(505) 292-6414

NPI assigned

Sep 6, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Melissa Ravago, D.M.D., P.C.

  • Dental Clinic/Center
  • Albuquerque, NM
  • NPI 1912317215
  NPD (past) Authorized official

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1346435989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 OSUNA RD NE STE 2B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112069",
            "telephone_number": "505-292-6414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 OSUNA RD NE STE 2B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112069",
            "telephone_number": "505-292-6414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 Camino de Salud",
            "address_2": "Division Of Dental Services",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871020001",
            "country_code": "US",
            "telephone_number": "505-288-9768",
            "fax_number": "505-925-4030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAVAGO",
        "first_name": "MELISSA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-06",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD2907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Marie Ratliff, PA-C
• Crystal J Ratliffe
• Addison Ann Rauch, CNP
• Julia Summer Rauchfuss, MD
• Julie Raulerson, MS CCC-SLP
• Raven Counseling and Wellness LLC
• Denise M Raven, LISW
• Raja Ravender, MD
• Ravensnow L.L.C.
• Katherine Choe Raver, FNP-C

• Dentist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Dentist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.