Active NPI
Raphaella Ranjo, DMD
- Dentist
- Denton, MD
National Provider Identifier
1972352300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 18469
- Practice address
- 808 S 5TH Ave
Denton, MD 21629-1398 - Phone
- (410) 479-2650
- Fax
- (833) 916-1012
- NPI assigned
- May 17, 2024
- Last updated
- Jul 3, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 18469 | MD | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU |
Addresses
Primary practice location
808 S 5TH Ave
Denton, MD 21629-1398
Mailing address
808 S 5TH Ave
Denton, MD 21629-1398
Phone (410) 479-2650
Other practice location 1
10 N Greene St
Baltimore, MD 21201-1524
Phone (410) 605-7000
Other practice location 2
344 University Blvd W
Silver Spring, MD 20901-1948
Phone (844) 796-2797
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250815000324 | MD | Order and Referring Only - Dentist | 0648779819 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18469 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751500800000",
"number": "1972352300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 S 5TH AVE",
"city": "DENTON",
"state": "MD",
"postal_code": "216291398",
"telephone_number": "410-479-2650",
"fax_number": "833-916-1012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 S 5TH AVE",
"city": "DENTON",
"state": "MD",
"postal_code": "216291398",
"telephone_number": "410-479-2650",
"fax_number": "833-916-1012"
}
],
"practiceLocations": [
{
"address_1": "10 N Greene St",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212011524",
"country_code": "US",
"telephone_number": "410-605-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "344 University Blvd W",
"address_purpose": "LOCATION",
"city": "Silver Spring",
"state": "MD",
"postal_code": "209011948",
"country_code": "US",
"telephone_number": "844-796-2797",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RANJO",
"first_name": "RAPHAELLA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-17",
"last_updated": "2025-07-03",
"certification_date": "2025-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "18469",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.