DR. RANDALL SHAWN KELLY D.D.S.
NPI 1376632430
Dentist - General Practice in Roseville, CA

Active since October 12, 2006
700 SUNRISE AVE, SUITE E, ROSEVILLE, CA 95661(916) 773-1122 Get Directions Write a Review

NPPES record last updated: April 4, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Randall Shawn Kelly D.d.s. NPPES

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

DR. RANDALL SHAWN KELLY D.D.S. (NPI 1376632430) is an individual general practice provider in Roseville, California, licensed in California (29984) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1376632430
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. RANDALL SHAWN KELLYCredential: D.D.S.
Location Address700 SUNRISE AVE, SUITE ERoseville, CA 95661-4561
Mailing Address700 Sunrise Ave, Suite ERoseville, CA 95661-4561 · (916) 773-1122 · Fax (916) 773-3528
Sole ProprietorYes
Enumeration DateOctober 12, 2006
Last NPPES UpdateApril 4, 2017
NPI 1376632430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 29984
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.
700 SUNRISE AVE, Roseville, CA 95661

Other Identifiers 1

Other680245059CA · Tin

Accepted Insurance

Other Providers at the Same Location NPPES 9

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

Chiropractor
700 SUNRISE AVE, SUITE D
ROSEVILLE, CA 95661
Pediatrics
700 SUNRISE AVE, SUITE N
ROSEVILLE, CA 95661
Emergency Medicine
700 SUNRISE AVE
ROSEVILLE, CA 95661
Family Medicine
700 SUNRISE AVE, SUITE N
ROSEVILLE, CA 95661
Dentist (Pediatric Dentistry)
700 SUNRISE AVE, # C
ROSEVILLE, CA 95661
Dentist (Pediatric Dentistry)
700 SUNRISE AVE, #C
ROSEVILLE, CA 95661
Community Health Worker
700 SUNRISE AVE, SUITE H
ROSEVILLE, CA 95661
Clinical Neuropsychologist
700 SUNRISE AVE, SUITE B
ROSEVILLE, CA 95661

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 Kelly's NPI number?

The NPI number for Randall Kelly is 1376632430. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Randall Kelly located?

Randall Kelly practices at 700 Sunrise Ave Suite E, Roseville, CA 95661. The listed phone number is (916) 773-1122.

What is Randall Kelly's specialty?

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

What insurance does Randall Kelly accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Randall Kelly 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 Kelly was last updated on April 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.