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DR. AUDREY MAE N RAWSON D.D.S.
NPI 1215290390
Dentist - Pediatric Dentistry in Albuquerque, NM

Active since June 22, 2012PECOS Enrolled
4620 JEFFERSON LN NE STE C, ALBUQUERQUE, NM 87109(505) 888-3520 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 24, 2023, Mar 24, 2020, Sep 13, 2019 and 1 more (4 updates tracked since 2019).

About Dr. Audrey Mae N Rawson D.d.s. NPPES

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

DR. AUDREY MAE N RAWSON D.D.S. (NPI 1215290390) is an individual pediatric dentistry provider in Albuquerque, New Mexico, licensed in New Mexico (DD5246) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1215290390
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. AUDREY MAE N RAWSONCredential: D.D.S.
Location Address4620 JEFFERSON LN NE STE CAlbuquerque, NM 87109-2149
Mailing Address4620 Jefferson Ln Ne Ste CAlbuquerque, NM 87109-2149 · (505) 888-3520
Phone(505) 888-3520
Sole ProprietorYes
Enumeration DateJune 22, 2012
Last NPPES UpdateJuly 24, 20234 updates tracked since enumeration
NPPES CertifiedJuly 24, 2023
✔ NPI 1215290390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in NM · DD5246✔ Licensed in HI · DT-2646✔ Licensed in NM · DD4404✔ Licensed in HI · 2646
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.
Also ListedDentistTaxonomy 122300000X · License 2646 (HI)
4620 JEFFERSON LN NE STE C, Albuquerque, NM 87109
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Secondary Practice Location 1

Location 11111 S Grand Ave Apt 503Los Angeles, CA 90015-2755 · Phone (951) 543-7439

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.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. Audrey Mae N Rawson D.d.s. 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 87109 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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 4

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

DR. COLIN SIMEON SHAW D.M.D
Dentist (Endodontics)
4620 JEFFERSON LN NE STE C
ALBUQUERQUE, NM 87109
Bernalillo County (505) 888-3395
SJT PEDIATRIC DENTISTRY LLC
Dentist (Pediatric Dentistry)
4620 JEFFERSON LN NE STE C
ALBUQUERQUE, NM 87109
Bernalillo County (505) 888-3520
OHANA ORTHODONTICS LLC
Dentist (Orthodontics and Dentofacial Orthopedics)
4620 JEFFERSON LN NE STE C
ALBUQUERQUE, NM 87109
Bernalillo County (505) 888-3520
RAWSON PEDIATRIC DENTAL GROUP
Dentist (Pediatric Dentistry)
4620 JEFFERSON LN NE STE C
ALBUQUERQUE, NM 87109
Bernalillo County (505) 888-3520

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 Audrey Mae Rawson's NPI number?

The NPI number for Audrey Mae Rawson is 1215290390. It was assigned to this individual provider in the NPPES registry on June 22, 2012.

Where is Audrey Mae Rawson located?

Audrey Mae Rawson practices at 4620 Jefferson Ln NE Ste C, Albuquerque, NM 87109. The listed phone number is (505) 888-3520.

What is Audrey Mae Rawson's specialty?

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

Is Audrey Mae Rawson enrolled in Medicare?

Yes. Audrey Mae Rawson is registered in the Medicare PECOS enrollment system.

What insurance does Audrey Mae Rawson 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 9 other insurers list Audrey Mae Rawson 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 Audrey Mae Rawson was last updated on July 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.