Randolph Alvin Degerness, DDS, MS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DEN000000005149 Issued in CO

Practice address

8340 Sangre de Cristo Rd
Suite 104
Littleton, CO 80127-4248

Phone

(303) 948-4884

Fax

(720) 922-7734

NPI assigned

Apr 4, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Andante Endodontic Specialists, Prof. LLC

  dba Andante Endodontics

  • Dental Clinic/Center
  • Littleton, CO
  • NPI 1558484691
  NPD (past)
• Parry Endodontics 2 PLLC

  dba Andante Endodontics

  • Endodontics
  • Littleton, CO
  • NPI 1699490219
  NPD (past)

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649392382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8340 SANGRE DE CRISTO RD",
            "address_2": "SUITE 104",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801274248",
            "telephone_number": "303-948-4884",
            "fax_number": "720-922-7734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8340 SANGRE DE CRISTO RD",
            "address_2": "SUITE 104",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801274248",
            "telephone_number": "303-948-4884",
            "fax_number": "720-922-7734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGERNESS",
        "first_name": "RANDOLPH",
        "middle_name": "ALVIN",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CO",
            "license": "DEN000000005149",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MN",
            "license": "D9660",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WY",
            "license": "899",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "DEN000000005149",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "D9660",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "899",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deer Oaks West LLC
• Jonathan E Defez, LCSW
• Melissa Deffenbaugh
• Dan Defouw, LPC
• Carolyn S Degarmo
• Ghea Mae Tiping Degillo, DNP
• Sharon R Deguevara, LCSW
• Rachel Elizabeth Deits, AGNP
• Del Core Dental Hygiene LLC
• Francis Del Rosario, M.D.

• Endodontics in Littleton, CO
• Providers in Littleton, CO by specialty
• Endodontics in Colorado

• 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.