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DR. RANDALL J RUSSELL D.D.S.
NPI 1013170968
Dentist - Oral and Maxillofacial Surgery in Centennial, CO

Active since July 09, 2008PECOS EnrolledAccepts Medicare Assignment
20971 E SMOKY HILL RD, SUITE 201, CENTENNIAL, CO 80015(720) 870-1451(720) 870-1456 Get Directions Write a Review

NPPES record last updated: March 11, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Randall J Russell D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RANDALL J RUSSELL D.D.S. (NPI 1013170968) is an individual oral and maxillofacial surgery provider in Centennial, Colorado, licensed in Colorado (DEN.00201913) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS and is a graduate of Virginia Commonwealth Univ School Of Dentistry (2008).

NPPES Registry Identity

NPI1013170968
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. RANDALL J RUSSELLCredential: D.D.S.
Location Address20971 E SMOKY HILL RD, SUITE 201Centennial, CO 80015-5186
Mailing Address20971 E Smoky Hill Rd, Suite 201Centennial, CO 80015-5186 · (720) 870-1451 · Fax (720) 870-1456
Phone(720) 870-1451
Fax(720) 870-1456
Sole ProprietorYes
Medical School CMSVirginia Commonwealth Univ School Of DentistryGraduated 2008
Enumeration DateJuly 9, 2008
Last NPPES UpdateMarch 11, 2013
✔ NPI 1013170968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in CO · DEN.00201913
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
20971 E SMOKY HILL RD, Centennial, CO 80015
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Randall J Russell D.d.s. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931415783
PECOS Enrollment IDI20160205001433
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80015 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIKAYLA JOY KIRKHAM
Behavior Technician
20971 E SMOKY HILL RD
AURORA, CO 80015
Arapahoe County (720) 961-8539
ANISZTAZIA VEX LISICA
Behavior Technician
20971 E SMOKY HILL RD
AURORA, CO 80015
Arapahoe County (720) 961-8539
PRESKEN FAMILY CARE PC
Family Medicine
20971 E SMOKY HILL RD, SUITE 107
CENTENNIAL, CO 80015
Arapahoe County (720) 556-2001
DENIZER CARTER
Behavior Technician
20971 E SMOKY HILL RD
AURORA, CO 80015
Arapahoe County (405) 999-2208
KATELYN SONG
Student in an Organized Health Care Education/Training Program
20971 E SMOKY HILL RD
AURORA, CO 80015
Arapahoe County (720) 347-8559
MIGUEL ANDRES NARVAEZ
Behavior Technician
20971 E SMOKY HILL RD
AURORA, CO 80015
Arapahoe County (720) 961-8539
MR. ANTHONY JAMES CATALDI II LMHC, LPC
Counselor (Mental Health)
20971 E SMOKY HILL RD
AURORA, CO 80015
Arapahoe County (720) 726-3865
MICHAELA KOZLOWSKI-MCKINLEY
Behavior Technician
20971 E SMOKY HILL RD
CENTENNIAL, CO 80015
Arapahoe County (720) 961-8539

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randall Russell's NPI number?

The NPI number for Randall Russell is 1013170968. It was assigned to this individual provider in the NPPES registry on July 9, 2008.

Where is Randall Russell located?

Randall Russell practices at 20971 E Smoky Hill Rd Suite 201, Centennial, CO 80015. The listed phone number is (720) 870-1451.

What is Randall Russell's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Randall Russell enrolled in Medicare?

Yes. Randall Russell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Randall Russell accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Randall Russell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Randall Russell was last updated on March 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.