Active NPI
Cierra Joan Randall, DDS MSD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Lakewood, CO
National Provider Identifier
1295432573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DEN.00205374
- Practice address
- 311 S Teller St
Lakewood, CO 80226-7387 - Phone
- (720) 730-5551
- NPI assigned
- Feb 8, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 105554 | CA | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DEN.00205374 | CO | Primary |
Addresses
Primary practice location
311 S Teller St
Lakewood, CO 80226-7387
Mailing address
311 S Teller St
Lakewood, CO 80226-7387
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105554 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| DEN.00205374 | CO | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678665600000",
"number": "1295432573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 S TELLER ST",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802267387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 S TELLER ST",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802267387",
"telephone_number": "720-730-5551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDALL",
"first_name": "CIERRA",
"middle_name": "JOAN",
"name_prefix": "Dr.",
"credential": "DDS MSD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-08",
"last_updated": "2023-03-13",
"certification_date": "2023-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "105554",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CO",
"license": "DEN.00205374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.