Individual provider Active NPI

John W Ratliff, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Charleston, SC
National Provider Identifier
1689144461
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
10448 Issued in SC
Practice address
2320 Cosgrove Ave
Charleston, SC 29405-7644
Phone
(843) 554-5003
NPI assigned
Dec 5, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 10448 SC Primary

Addresses

Primary practice location

2320 Cosgrove Ave
Charleston, SC 29405-7644

Mailing address

2320 Cosgrove Ave
Charleston, SC 29405-7644
Phone (843) 554-5003

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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 10, 2023 through Jul 10, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Oral and Maxillofacial Surgery Associates LLC Oral and Maxillofacial Surgery CurrentSince May 21, 2023 Accepting new patients
Oral & Maxillofacial Surgery Associates of Charleston PastSince May 21, 2023 Accepting new patients

Locations

2320 Cosgrove Ave
North Charleston, SC 29405
Phone (843) 554-5003

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1689144461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 COSGROVE AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294057644",
            "telephone_number": "843-554-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 COSGROVE AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294057644",
            "telephone_number": "843-554-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATLIFF",
        "first_name": "JOHN",
        "middle_name": "W",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-05",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "SC",
            "license": "10448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.