DONALD RAY RATLIFF DDS
NPI 1649292541
Dentist - General Practice in Johnson City, TN

Active since July 23, 2006Opted out of Medicare · through Sep 25, 2027
1303 SUNSET DR STE 1, JOHNSON CITY, TN 37604(423) 282-8408(423) 282-0885 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Donald Ray Ratliff Dds NPPES

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

DONALD RAY RATLIFF DDS (NPI 1649292541) is an individual general practice provider in Johnson City, Tennessee, licensed in Tennessee (DS5152) and active in the NPI registry since July 2006. He has opted out of Medicare through September 25, 2027.

NPPES Registry Identity

NPI1649292541
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDONALD RAY RATLIFFCredential: DDS
Location Address1303 SUNSET DR STE 1Johnson City, TN 37604-7905
Mailing Address1303 Sunset Dr Ste 1Johnson City, TN 37604-7905
Fax(423) 282-0885
Sole ProprietorYes
Enumeration DateJuly 23, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1649292541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in TN · DS5152
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1303 SUNSET DR STE 1, Johnson City, TN 37604

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Donald Ray Ratliff Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 25, 2015 through September 25, 2027.

Opt-Out Effective DateSeptember 25, 2015
Opt-Out In Effect ThroughSeptember 25, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Donald Ratliff's NPI number?

The NPI number for Donald Ratliff is 1649292541. It was assigned to this individual provider in the NPPES registry on July 23, 2006.

Where is Donald Ratliff located?

Donald Ratliff practices at 1303 Sunset Dr Ste 1, Johnson City, TN 37604. The listed phone number is (423) 282-8408.

What is Donald Ratliff's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Donald Ratliff enrolled in Medicare?

No. Donald Ratliff has opted out of Medicare through September 25, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Donald Ratliff was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.