Organization Active NPI

Melissa Ravago, D.M.D., P.C.

  • Dental Clinic/Center
  • Albuquerque, NM
National Provider Identifier
1912317215
Registry record updated May 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DD2907 Issued in NM
Legal business name
MELISSA RAVAGO, D.M.D., P.C.
Practice address
8400 Osuna Rd NE
Suite 2B
Albuquerque, NM 87111-2087
Phone
(505) 292-4616
NPI assigned
May 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2014

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

Authorized official

Name
Dr. Melissa Ravago, D.M.D.NPI 1346435989
Title
Dentist
Phone
(505) 292-4616

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DD2907 NM Primary

Addresses

Primary practice location

8400 Osuna Rd NE
Suite 2B
Albuquerque, NM 87111-2087

Mailing address

8400 Osuna Rd NE
Suite 2B
Albuquerque, NM 87111-2087
Phone (505) 292-4616

National Provider Directory

National Provider Directory

Locations

8400 Osuna Rd NE
Ste 2B
Albuquerque, NM 87111
Phone (505) 292-4616

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399420800000",
    "number": "1912317215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 OSUNA RD NE",
            "address_2": "SUITE 2B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112087",
            "telephone_number": "505-292-4616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 OSUNA RD NE",
            "address_2": "SUITE 2B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112087",
            "telephone_number": "505-292-4616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA RAVAGO, D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-07",
        "last_updated": "2014-05-07",
        "status": "A",
        "authorized_official_last_name": "RAVAGO",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "505-292-4616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NM",
            "license": "DD2907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; 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.