RANDALL L RUDOLPH DDS
NPI 1780736231
Dentist in Brentwood, TN

Q: What is Randall Rudolph's NPI number?

The NPI number for Randall Rudolph is 1780736231. It was assigned to this individual provider in the NPPES registry on January 17, 2007.

Q: What is Randall Rudolph's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Randall Rudolph 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.

Active since January 17, 2007PECOS Enrolled

6509 MURRAY LANE, DR RANDALL RUDOLPH, BRENTWOOD, TN 37027(615) 373-0680 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Randall L Rudolph Dds NPPES

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

RANDALL L RUDOLPH DDS (NPI 1780736231) is an individual dentist in Brentwood, Tennessee, licensed in Tennessee (DS2831) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780736231

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameRANDALL L RUDOLPHCredential: DDS

Location Address6509 MURRAY LANE, DR RANDALL RUDOLPHBrentwood, TN 37027

Mailing Address6509 Murray Lane, Dr Randall RudolphBrentwood, TN 37027 · (615) 373-0680

Phone(615) 373-0680

Sole ProprietorNo

Enumeration DateJanuary 17, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1780736231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in TN · DS2831

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.

6509 MURRAY LANE, Brentwood, TN 37027

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include DentaQuest Insurance Company Inc- TN, Guardian, Humana.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)

Randall L Rudolph 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 37027 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

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.

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 Rudolph's NPI number?

The NPI number for Randall Rudolph is 1780736231. It was assigned to this individual provider in the NPPES registry on January 17, 2007.

Where is Randall Rudolph located?

Randall Rudolph practices at 6509 Murray Lane Dr Randall Rudolph, Brentwood, TN 37027. The listed phone number is (615) 373-0680.

What is Randall Rudolph's specialty?

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

Is Randall Rudolph enrolled in Medicare?

Yes. Randall Rudolph is registered in the Medicare PECOS enrollment system.

What insurance does Randall Rudolph accept?

Health plans from DentaQuest Insurance Company Inc- TN, Guardian and Humana list Randall Rudolph 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 Rudolph 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.