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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. RANDOLPH KELLY FAULK JR. DDS
NPI 1407807605
Dentist in Sanford, NC

Active since May 12, 2006PECOS Enrolled
1806 DOCTORS DR, SANFORD, NC 27330(919) 774-9419(919) 774-1404 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Randolph Kelly Faulk Jr. Dds NPPES

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

DR. RANDOLPH KELLY FAULK JR. DDS (NPI 1407807605) is an individual dentist in Sanford, North Carolina, licensed in North Carolina (6030) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407807605
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. RANDOLPH KELLY FAULK JR.Credential: DDS
Location Address1806 DOCTORS DRSanford, NC 27330
Mailing Address1806 Doctors DrSanford, NC 27330 · (919) 774-9419 · Fax (919) 774-1404
Phone(919) 774-9419
Fax(919) 774-1404
Sole ProprietorNo
Enumeration DateMay 12, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1407807605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NC · 6030
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1806 DOCTORS DR, Sanford, NC 27330
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Other Identifiers 1

Medicaid8992816NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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 (PECOS)

Dr. Randolph Kelly Faulk Jr. Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 27330 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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

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

R KELLY FAULK JR DDS PA
Clinic/Center (Dental)
1806 DOCTORS DR
SANFORD, NC 27330
Lee County (919) 774-9419

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 Faulk's NPI number?

The NPI number for Randolph Faulk is 1407807605. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Randolph Faulk located?

Randolph Faulk practices at 1806 Doctors Dr, Sanford, NC 27330. The listed phone number is (919) 774-9419.

What is Randolph Faulk's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Randolph Faulk enrolled in Medicare?

Yes. Randolph Faulk is registered in the Medicare PECOS enrollment system.

What insurance does Randolph Faulk accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of North Carolina list Randolph Faulk 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 Faulk was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.