Randy R Nolf, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DS021029L Issued in PA

Practice address

106 Skinner Hill Rd
Stroudsburg, PA 18360-7505

Phone

(570) 420-1500

Fax

(570) 420-1500

NPI assigned

Apr 26, 2007

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

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.

Opted out of Medicare

Yes, effective Apr 16, 2021 through Apr 16, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Randy Nolf PC

  dba Thrive Sleep and Breathing

  • Customized Equipment (DME)
  • Stroudsburg, PA
  • NPI 1588327803
  NPD

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1629298484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 8TH AVE",
            "address_2": "SUITE 101",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180181893",
            "telephone_number": "610-865-8077",
            "fax_number": "610-865-8112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 SKINNER HILL RD",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183607505",
            "telephone_number": "570-420-1500",
            "fax_number": "570-420-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "521 Winterside Dr",
            "address_purpose": "LOCATION",
            "city": "Apollo Beach",
            "state": "FL",
            "postal_code": "335723425",
            "country_code": "US",
            "telephone_number": "919-912-2062",
            "fax_number": "919-912-2062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOLF",
        "first_name": "RANDY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "DS021029L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Denise Nicholson, HIS
• Eileen Nicholson, HIS
• Robert Charles Nonnemacher, DDS
• Northbound & Co
• Alexander Leigh Nourse, D.O., M.B.A., M.S.
• Allison Novak, MSN, CRNP, WHNP-BC
• Pete Kwabena Obeng, MD

• Periodontics in Stroudsburg, PA
• Providers in Stroudsburg, PA by specialty
• Periodontics in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.