Randy Kreidel, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

16849 Issued in TX

Practice address

534 10TH St
Floresville, TX 78114-3199

Phone

(830) 393-8300

Fax

(830) 302-2189

NPI assigned

Jan 10, 2006

Last updated

Aug 4, 2021By 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.

• Jesse Smith DDS LLC

  dba Saint Robert Family Dental Center

  • Dental Clinic/Center
  • Saint Robert, MO
  • NPI 1841778123
  NPD (past)
• Kiersz Dentistry Inc

  dba St. Robert Family Dental Center

  • General Practice Dentistry
  • Saint Robert, MO
  • NPI 1366597197
  NPD (past)

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1437138393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 10TH ST",
            "city": "FLORESVILLE",
            "state": "TX",
            "postal_code": "781143199",
            "telephone_number": "830-393-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 10TH ST",
            "city": "FLORESVILLE",
            "state": "TX",
            "postal_code": "781143199",
            "telephone_number": "830-393-8300",
            "fax_number": "830-302-2189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREIDEL",
        "first_name": "RANDY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "16849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janis Clair Kimble, DC
• Jill Michele Kingslien, MPT
• John E. Kobert, D.O.
• Dheeraj Kumar Koli, DDS
• Nancy Kolodziej
• Shauna Kroll, NP-C
• Ashley Nicole Laskowski, FNP-C
• Joung Woo Lee, D.M.D.
• Randall Wayne Lerich, DDS
• Gina Martin Lowery, LMSW

• Dentist in Floresville, TX
• Providers in Floresville, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; 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.