Individual provider Active NPI

Randon Campbell, DDS

  • Dentist
  • Greenacres, FL
National Provider Identifier
1710565148
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN25818 Issued in FL
Practice address
6169 S Jog Rd Unit A8-A9
Greenacres, FL 33467-6579
Phone
(305) 954-1751
NPI assigned
Mar 29, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN25818 FL Primary
Dentist 122300000X DN122386 GA

Addresses

Primary practice location

6169 S Jog Rd Unit A8-A9
Greenacres, FL 33467-6579

Mailing address

6480 SW 27TH St
Miramar, FL 33023-3816
Phone (305) 954-1751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN25818FLMDDentist
DN122386GAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Isles Dentistry CurrentSince Aug 13, 2023 Accepting new patients
Purple Dental LLC Dentist PastSince Jul 4, 2021 Accepting new patients
Jebediah S Christy DDS - Brunswick PLLC Dentist PastSince Aug 13, 2023 Accepting new patients

Locations

11455 Canal Xing
Brunswick, GA 31525
Phone (912) 217-4953

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1710565148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6480 SW 27TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330233816",
            "telephone_number": "305-954-1751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6169 S JOG RD UNIT A8-A9",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334676579",
            "telephone_number": "305-954-1751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "RANDON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-29",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN25818",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN122386",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; 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.