Melissa Randell, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6366 Issued in OK

Practice address

301 S Wyandotte Ave
Bartlesville, OK 74003-4039

Phone

(918) 336-1422

Fax

(918) 336-8633

NPI assigned

May 3, 2012

Sex

Female

Sole proprietor

Yes

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

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Steven E. Armstrong, DDS, PLC

  • General Practice Dentistry
  • Bartlesville, OK
  • NPI 1912134719
  NPD (past)
• Melissa D. Randell,D.D.S.

  • General Practice Dentistry
  • Caney, KS
  • NPI 1285174862
  NPD (past)
• Nancy J. Cowell, D.M.D.

  • General Practice Dentistry
  • Caney, KS
  • NPI 1962777250
  NPD (past)

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483401600000",
    "number": "1295094779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8",
            "address_2": "PO BOX 578",
            "city": "CANEY",
            "state": "KS",
            "postal_code": "673330008",
            "telephone_number": "620-879-2386",
            "fax_number": "620-879-5651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S WYANDOTTE AVE",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740034039",
            "telephone_number": "918-336-1422",
            "fax_number": "918-336-8633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDELL",
        "first_name": "MELISSA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-03",
        "last_updated": "2017-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "6366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Caroline Rademacher, DPT
• Radiological Services, Inc
• Mary Deanne Rainey
• John Austin Ramey
• Michelle Renee Ramsey, M. ED., LPC
• Lovetta Denise Randolph, B.S., BHRS
• Rebecca Rassel
• Chloe A Raycob
• Dori Raycob, NP-C
• Timothy M Raycob, PAC

• General Practice Dentistry in Bartlesville, OK
• Providers in Bartlesville, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.