DR. AUDREY MAE N RAWSON D.D.S. NPI 1215290390

NPI Information

NPI: 1215290390
Provider Name: DR. AUDREY MAE N RAWSON, D.D.S.
Classification: Dentist - 1223P0221X
Specialization: Pediatric Dentistry
Entity Type: Individual
PECOS Registration: Yes
Address: 4620 JEFFERSON LN NE STE C
ALBUQUERQUE, NM
ZIP 87109
Phone: (505) 888-3520

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NPI Details

DR. Audrey Mae N Rawson, D.D.S. is a pediatric dentistry dentist in Albuquerque, NM. The provider is 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. DR. Audrey Mae N Rawson, D.D.S. NPI is 1215290390. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4620 JEFFERSON LN NE STE C
ALBUQUERQUE, NM
ZIP 87109-149
Phone: (505) 888-3520

The NPI 1215290390 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 6/22/2012 and was last updated on 7/24/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0221X	Dentist	Pediatric Dentistry	DD5246	NEW MEXICO	Yes
2	122300000X	Dentist		2646	HAWAII	No
3	1223P0221X	Dentist	Pediatric Dentistry	DT-2646	HAWAII	No
4	1223P0221X	Dentist	Pediatric Dentistry	DD4404	NEW MEXICO	No
5	1223P0221X	Dentist	Pediatric Dentistry	2646	HAWAII	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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