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RANDELL RICHARDSON
NPI 1912065020
Dentist - General Practice in Lewisville, TX

Active since December 04, 2006PECOS Enrolled
1288 W MAIN ST, SUITE 123, LEWISVILLE, TX 75067(972) 221-2220 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Randell Richardson NPPES

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

RANDELL RICHARDSON (NPI 1912065020) is an individual general practice provider in Lewisville, Texas, licensed in Texas (12891) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912065020
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameRANDELL RICHARDSON
Location Address1288 W MAIN ST, SUITE 123Lewisville, TX 75067-3420
Mailing Address650 International Pkwy, Suite 100Richardson, TX 75081-6612 · (972) 221-2220
Phone(972) 221-2220
Sole ProprietorNo
Enumeration DateDecember 4, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1912065020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 12891
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.
1288 W MAIN ST, Lewisville, TX 75067
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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)

Randell Richardson 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 75067 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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 2

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

SOTERY MAMOUZELOS
Dentist (General Practice)
1288 W MAIN ST, SUITE 123
LEWISVILLE, TX 75067
Denton County (972) 221-2220
FREEDOM DIAGNOSTIC SERVICES LLC
Clinic/Center (Sleep Disorder Diagnostic)
1288 W MAIN ST, #200
LEWISVILLE, TX 75067
Denton County (972) 221-1212

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 Randell Richardson's NPI number?

The NPI number for Randell Richardson is 1912065020. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Where is Randell Richardson located?

Randell Richardson practices at 1288 W Main St Suite 123, Lewisville, TX 75067. The listed phone number is (972) 221-2220.

What is Randell Richardson's specialty?

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

Is Randell Richardson enrolled in Medicare?

Yes. Randell Richardson is registered in the Medicare PECOS enrollment system.

What insurance does Randell Richardson accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 20 other insurers list Randell Richardson 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 Randell Richardson 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.