Elizabeth Felts Randall, D.M.D.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

9462 Issued in TN

Practice address

951 Riverfront Pkwy
Suite 102
Chattanooga, TN 37402-2185

Phone

(423) 756-2450

Fax

(423) 756-5451

NPI assigned

Aug 13, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Elizabeth A Felts Former name

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.

• Chattanooga Periodontics & Dental Implants, PC

  • Periodontics
  • Chattanooga, TN
  • NPI 1063562460
  NPD (past)

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428796800000",
    "number": "1891042461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 RIVERFRONT PKWY",
            "address_2": "SUITE 102",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374022185",
            "telephone_number": "423-756-2450",
            "fax_number": "423-756-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 RIVERFRONT PKWY",
            "address_2": "SUITE 102",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374022185",
            "telephone_number": "423-756-2450",
            "fax_number": "423-756-5451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "ELIZABETH",
        "middle_name": "FELTS",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-13",
        "last_updated": "2015-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "AL",
            "license": "5960C1",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TN",
            "license": "9462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "FELTS",
            "middle_name": "A",
            "credential": "D.M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrea Ramsey, M.S.
• Jason Spencer Ramsey, CRNA
• Melissa Ann Ramsey, PHARM.D.
• Nitesh G Rana, M.D.
• Randall Restorative Solutions, PLLC
• Sally W Randall, APN
• Lisa Jean Randles, M.S.S.W.
• Lindsay Randolph
• Rebecca Ann Randolph
• Arjun Kasthuri Rangan, MD

• Periodontics in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Periodontics in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2015; 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.