DR. CHARLES JARED RANDALL DDS
NPI 1710035829
Dentist - Orthodontics and Dentofacial Orthopedics in Ammon, ID

Active since January 08, 2007
3285 E. 17TH ST., AMMON, ID 83406(208) 523-3380(208) 523-3077 Get Directions Write a Review

NPPES record last updated: July 24, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Charles Jared Randall Dds NPPES

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

DR. CHARLES JARED RANDALL DDS (NPI 1710035829) is an individual orthodontics and dentofacial orthopedics provider in Ammon, Idaho, licensed in Idaho (D-3405-OR) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1710035829
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. CHARLES JARED RANDALLCredential: DDS
Location Address3285 E. 17TH ST.Ammon, ID 83406-6758
Mailing Address3285 E. 17th St.Ammon, ID 83406-6758 · (208) 523-3380 · Fax (208) 523-3077
Fax(208) 523-3077
Sole ProprietorNo
Enumeration DateJanuary 8, 2007
Last NPPES UpdateJuly 24, 2009
NPI 1710035829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in ID · D-3405-OR
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
3285 E. 17TH ST., Ammon, ID 83406

Other Identifiers 1

Medicaid806122100ID

Accepted 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.

Dentist (Orthodontics and Dentofacial Orthopedics)
3285 E. 17TH ST.
AMMON, ID 83406

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 Charles Randall's NPI number?

The NPI number for Charles Randall is 1710035829. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Charles Randall located?

Charles Randall practices at 3285 E. 17th St., Ammon, ID 83406. The listed phone number is (208) 523-3380.

What is Charles Randall's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

What insurance does Charles Randall 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 6 other insurers list Charles Randall 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 Charles Randall was last updated on July 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.