1. Home
  2. Directory
  3. Washington
  4. Walla Walla
  5. Dentist
  6. NPI Profile

RANDOLPH C PEARSON D.D.S.
NPI 1336122852
Dentist - General Practice in Walla Walla, WA

Active since November 29, 2005
121 W POPLAR ST, STE C, WALLA WALLA, WA 99362(509) 525-2850(509) 529-6545 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Randolph C Pearson D.d.s. NPPES

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

RANDOLPH C PEARSON D.D.S. (NPI 1336122852) is an individual general practice provider in Walla Walla, Washington, licensed in Washington (4967) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1336122852
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameRANDOLPH C PEARSONCredential: D.D.S.
Location Address121 W POPLAR ST, STE CWalla Walla, WA 99362-2871
Mailing AddressPo Box 445Waitsburg, WA 99361-0445 · (509) 337-8881
Phone(509) 525-2850
Fax(509) 529-6545
Sole ProprietorYes
Enumeration DateNovember 29, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1336122852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WA · 4967
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
121 W POPLAR ST, Walla Walla, WA 99362
Open in Google Maps ↗

Other Identifiers 2

Medicaid5512702WA
Medicare ID-Type UnspecifiedAB18343WA

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 Montana and more.Insurance ›

Other Providers at the Same Location NPPES

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

KYLE SULLIVAN DMD
Dentist (General Practice)
121 W POPLAR ST, STE A
WALLA WALLA, WA 99362
Walla Walla County (509) 525-3522

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 Randolph Pearson's NPI number?

The NPI number for Randolph Pearson is 1336122852. It was assigned to this individual provider in the NPPES registry on November 29, 2005.

Where is Randolph Pearson located?

Randolph Pearson practices at 121 W Poplar St Ste C, Walla Walla, WA 99362. The listed phone number is (509) 525-2850.

What is Randolph Pearson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Randolph Pearson accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Randolph Pearson 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 Randolph Pearson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.