Individual provider Active NPI

Leigh A Randolph, D.D.S, M.S.,A.B.E.

  • Endodontics
  • Columbus, OH
National Provider Identifier
1336350362
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
OH19084 Issued in OH
Practice address
2941 Kenny Rd
Suite, 120
Columbus, OH 43221-2430
Phone
(614) 457-9373
Fax
(614) 457-3496
NPI assigned
May 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X OH19084 OH Primary

Addresses

Primary practice location

2941 Kenny Rd
Suite, 120
Columbus, OH 43221-2430

Mailing address

2941 Kenny Rd
Suite, 120
Columbus, OH 43221-2430
Phone (614) 457-9373

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OH19084OHMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336350362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2941 KENNY RD",
            "address_2": "SUITE, 120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212430",
            "telephone_number": "614-457-9373",
            "fax_number": "614-457-3496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2941 KENNY RD",
            "address_2": "SUITE, 120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212430",
            "telephone_number": "614-457-9373",
            "fax_number": "614-457-3496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDOLPH",
        "first_name": "LEIGH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S, M.S.,A.B.E.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "OH",
            "license": "OH19084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.