Individual provider Active NPI

Janine Randazzo, D.M.D.

  • General Practice Dentistry
  • Midlothian, VA
National Provider Identifier
1740257039
Registry record updated Dec 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401411243 Issued in VA
Practice address
2300 Robious Station Cir
Midlothian, VA 23113-2124
Phone
(804) 897-2900
NPI assigned
Mar 5, 2006
Last updated
Dec 17, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401411243 VA Primary
General Practice Dentistry 1223G0001X 047961 NY

Addresses

Primary practice location

2300 Robious Station Cir
Midlothian, VA 23113-2124

Mailing address

2300 Robious Station Cir
Midlothian, VA 23113-2124
Phone (804) 897-2900

Other identifiers 2

IdentifierTypeStateIssuer
02667196MedicaidNY
9179573OtherVADORAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150427000153 VA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6709105778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
047961NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Better Virginia PLLC General Practice PastSince Oct 1, 2025 Accepting new patients
Janine Randazzo, D.M.D., P.C. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1141516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387238400000",
    "number": "1740257039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 ROBIOUS STATION CIR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231132124",
            "telephone_number": "804-897-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 ROBIOUS STATION CIR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231132124",
            "telephone_number": "804-897-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDAZZO",
        "first_name": "JANINE",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-05",
        "last_updated": "2013-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401411243",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "047961",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02667196",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL",
            "identifier": "9179573",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.