Rex E Randolph, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2145 Issued in OH

Practice address

9374 Rolling Greens TRL
Miamisburg, OH 45342-6729

Phone

(937) 384-9152

Fax

(937) 384-9152

NPI assigned

May 24, 2010

Sex

Male

Sole proprietor

Yes

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

Enrolled in OH

Enrollment records 1

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.

• Wellness Health Systems, Inc.

  • Clinic/Center
  • Westerville, OH
  • NPI 1205936440
  Medicare reassignment NPD

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274659200000",
    "number": "1730408113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9374 ROLLING GREENS TRL",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453426729",
            "telephone_number": "937-384-9152",
            "fax_number": "937-384-9152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9374 ROLLING GREENS TRL",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453426729",
            "telephone_number": "937-384-9152",
            "fax_number": "937-384-9152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDOLPH",
        "first_name": "REX",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-24",
        "last_updated": "2010-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Putman
• Stephanie Janelle Quincy, FNP
• Rakshita Raghavan, MA, CCC/SLP
• Rajeev Mehta MD Inc
• Michael Lee Jacob Rando, DPT
• Edwina Helene Rao, MD, MPH
• Kelli Marie Rasor, APRN CNP
• Melissa Pantalo Rawlins, P.A. - C
• Andrew Joseph Razzano Jr., D.O.
• RCJ Victorious Haven, LLC

• Chiropractor in Miamisburg, OH
• Providers in Miamisburg, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.