Randell S. Terry, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D3994 Issued in ID

Practice address

209 Corky Boyd Ave
Wills Point, TX 75169-2815

Phone

(903) 873-2523

Fax

(903) 873-4405

NPI assigned

Aug 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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 and National Provider Directory roles.

• Terry Family Dental, PC

  • General Practice Dentistry
  • Wills Point, TX
  • NPI 1720386824
  NPD (past) Authorized official

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297209600000",
    "number": "1700898392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 CORKY BOYD AVE",
            "city": "WILLS POINT",
            "state": "TX",
            "postal_code": "751692815",
            "telephone_number": "903-873-2523",
            "fax_number": "903-873-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 CORKY BOYD AVE",
            "city": "WILLS POINT",
            "state": "TX",
            "postal_code": "751692815",
            "telephone_number": "903-873-2523",
            "fax_number": "903-873-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "RANDELL",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2011-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ID",
            "license": "D3994",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25929",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Silver Star Healthcare LLC
• Janie Lynn Smith
• Rachel Sparks, LVN
• Ronald Brent Taylor, DDS
• Terry Family Dental, PC
• Thathiah Health Services
• Leslie Tompkins, PHARMD, RPH
• Trinity Mither Francis Hospital
• True Choice Home Health Care LLC
• Daniel Edward Turner

• Dentist in Wills Point, TX
• Providers in Wills Point, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; 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.