CARRIE MD RANDOLPH DDS
NPI 1740594779
Dentist - General Practice in Kodiak, AK

Q: What is Carrie Randolph's NPI number?

The NPI number for Carrie Randolph is 1740594779. It was assigned to this individual provider in the NPPES registry on August 2, 2010.

Q: What is Carrie Randolph's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Carrie Randolph was last updated on September 30, 2016. 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.

Active since August 02, 2010PECOS Enrolled

506 W MARINE WAY, KODIAK, AK 99615(907) 486-3269 Get Directions Write a Review

NPPES record last updated: September 30, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Carrie Md Randolph Dds NPPES

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

CARRIE MD RANDOLPH DDS (NPI 1740594779) is an individual general practice provider in Kodiak, Alaska, licensed in Alaska (1346) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740594779

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameCARRIE MD RANDOLPHCredential: DDS

Location Address506 W MARINE WAYKodiak, AK 99615-7311

Mailing Address506 W Marine WayKodiak, AK 99615-7311 · (907) 486-3269

Phone(907) 486-3269

Sole ProprietorNo

Enumeration DateAugust 2, 2010

Last NPPES UpdateSeptember 30, 2016

✔ NPI 1740594779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in AK · 1346

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.

506 W MARINE WAY, Kodiak, AK 99615

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Other Identifiers 1

Other1346AK · Ak Occupational License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Alaska, Moda Health Plan, Inc..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)

Carrie Md Randolph 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 99615 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

$111.57 typical visit price

range $71.33 – $222.64

Typical copayment $27.89 (range $17.83 – $55.66)

Most-billed visit code 99203

Established Patient

$90.40 typical visit price

range $21.84 – $181.48

Typical copayment $22.60 (range $5.46 – $45.37)

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 5

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

JENNIFER SPIVEY D.D.S.

Dentist (General Practice)