Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1740594779 Individual Practitioner Female Practitioner

Dr. Carrie Md Randolph , DDS

Dentist - General Practice • Kodiak, AK

Professional Overview & Biography Verified Profile Summary

Dr. Carrie Randolph, DDS is a registered healthcare professional specializing in Dentist - General Practice in Kodiak, AK. Practice services are available at 506 W MARINE WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

506 W Marine Way

Kodiak, AK 996157311

Telephone 9074863269
Associated Practice Facility / Clinic
🏢 James R. Arneson, Dds,inc Facility NPI 1750728747

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Kodiak, AK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 4.0 Yrs
Regional Practice Density
8 Specialists

Practicing in Kodiak, AK (346 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AK 1346

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Ak Occupational License
1346 (AK)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Jennifer Spivey , DDS

Dentist - General Practice

NPI 1437243326

Doctor of Dental Surgery

James Arneson

Dentist - General Practice

NPI 1770688194

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 30, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 30, 2016

Registered at 506 W MARINE WAY, KODIAK, AK 996157311 (Tel: 9074863269)

📍
Updated Business Mailing Address September 30, 2016

Registered at 506 W MARINE WAY, KODIAK, AK 996157311 (Tel: 9074863269)

👤
Provider Name / Credentials Updated September 30, 2016

Recorded as CARRIE RANDOLPH, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2016

Dentist (License #1346 in AK)

🟢
Initial NPI Registration & Enumeration August 02, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1740594779
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 02, 2010
Last Update: September 30, 2016
Sole Proprietor: No

Mailing Address

506 W Marine Way

Kodiak, AK 996157311

Phone: 9074863269

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.