Randon Prather, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9492 Issued in KY

Practice address

1301 Olive St
Benton, KY 42025-1640

Phone

(270) 527-1479

Fax

(270) 527-3192

NPI assigned

Jun 11, 2014

Last updated

Jun 11, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Randon S. Prather, D.M.D., P.S.C.

  dba Gentle Dental Care

  • General Practice Dentistry
  • Benton, KY
  • NPI 1306235619
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1013321678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 585",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420250585",
            "telephone_number": "270-527-1479",
            "fax_number": "270-527-3192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 OLIVE ST",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420251640",
            "telephone_number": "270-527-1479",
            "fax_number": "270-527-3192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATHER",
        "first_name": "RANDON",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-11",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "9492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edwin Perez-Lopez, MD
• David Allen Phillips
• Jeffery Blake Pitman, D.C.
• William Powell, MD
• Prange Chiropractic Center
• Pro Physical Therapy LLC (PRO Physical Therapy)
• Emily C Puckett, LMT
• Purchase Area Support Services LLC
• Emma Reister Purdom, DMD
• John Connor Putney, LCSW

• General Practice Dentistry in Benton, KY
• Providers in Benton, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.