Randolph Evans Family Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

4175 Issued in WV

Legal business name

RANDOLPH EVANS FAMILY DENTISTRY

Practice address

22 Sierra Dr
Martinsburg, WV 25403-1133

Phone

(304) 263-3131

NPI assigned

Jul 17, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Randolph Evans

Title

Dentist/Owner

Phone

(304) 263-3131

Specialties & licenses 1

Addresses

Tax ID family

Randolph Evans Family Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Randolph T. Evans, D.D.S. P.L.L.C.

  • General Practice Dentistry
  • Martinsburg, WV
  • NPI 1902026479
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brandon Smith, D.D.S.

  • Dentist
  • Martinsburg, WV
  • NPI 1740665892
  NPD (past)

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437091200000",
    "number": "1356725428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 LITCHFIELD LN E",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254059644",
            "telephone_number": "304-203-8956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 SIERRA DR",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254031133",
            "telephone_number": "304-263-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDOLPH EVANS FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-17",
        "last_updated": "2015-07-17",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "RANDOLPH",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "304-263-3131",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WV",
            "license": "4175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa B Raley
• Sheila Paola Ramirez-Rodriguez, MD
• Daniel Ramirez
• Diane Ramsburg
• Joseph Randall
• Randolph T. Evans, D.D.S. P.L.L.C.
• Dara Ann Randolph, RN
• Stacey Raney
• Kelley Scott Rankin, MPT
• Nicholas Joseph Rapallo, PHARM.D.

• Dental Clinic/Center in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Dental Clinic/Center in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; 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.