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NPI · 1164589107 · NPPES-sourced

Dr. Charles Randolph D.D.S.

ActiveGeneral Practice Dentistry
NPI Number
1164589107
Type 1 · Individual
Taxonomy Code
1223G0001X
Contact
(914) 835-6004
License NY · 028137
Last Updated
Enumerated
Primary practice addressNY · 10543-1900
875 Mamaroneck Ave, Suite 302Mamaroneck, NY 10543-1900
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About this NPIWhat this record shows.

NPI 1164589107 is registered to Dr. Charles Randolph D.D.S., a General Practice Dentistry practising at 875 Mamaroneck Ave, Suite 302 in Mamaroneck, New York. General Practice Dentistry is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Dr. Charles Randolph D.D.S. has been enumerated in the National Provider Identifier (NPI) registry since 2007.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Order and Referring Only

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dr. Charles Randolph D.D.S. accepts. To confirm in-network status with your specific health plan, contact Dr. Charles Randolph D.D.S. directly at (914) 835-6004.

Frequently asked

Yes. NPI 1164589107 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

General Practice Dentistry is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (914) 835-6004.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dr. Charles Randolph D.D.S. is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy1223G0001X
Last updated
Enumerated
StatusActive
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