Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1497849665 Deactivated / Inactive NPI Male Practitioner

Dr. Richard Randolph , DDS

Dentist • Texas City, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Richard Randolph has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 03, 2006
NPI Deactivation Date September 16, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Richard Randolph, DDS was a registered Dentist practicing in Texas City, TX. Throughout an active medical career spanning 13 years, Dr. Randolph provided care at the practice location at 9850-C EMMETT F. LOWRY EXPY until profile deactivation on 2019-09-16.

Practice Location & Contact Primary Location

Practice Address

9850-C Emmett F. Lowry Expy
Suite C-103

Texas City, TX 77591

Telephone 4099493406
Fax 4099493492
Associated Practice Facility / Clinic
🏢 Coastal Health & Wellness Facility NPI 1578588406

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Texas City, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 3.0 Yrs
State Avg: 18.7 Yrs
Regional Practice Density
14 Specialists

Practicing in Texas City, TX (6851 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License TX 20141

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.

Practice Associates & Co-Workers

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

15 Associated Practitioners
NPI 1093026080

Doctor of Medicine (M.D.)

Dr. Eddie Summers , DDS

Dentist - General Practice

NPI 1104005123

Doctor of Dental Surgery

Bobbie Baggett , PA

Physician Assistant

NPI 1356509988

Physician Assistant

Dr. Jeffrey Whitley , PhD

Psychologist - Clinical

NPI 1366549263

Doctor of Philosophy (Ph.D.)

Susan Berkley , PA

Physician Assistant

NPI 1386712073

Physician Assistant

NPI 1396764916

Licensed Clinical Social Worker

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated September 16, 2019

Record deactivated on September 16, 2019

NPI Profile Active August 21, 2012

NPI status registered as active in NPPES database

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Updated Practice Location August 21, 2012

Registered at 9850-C EMMETT F. LOWRY EXPY, SUITE C-103, TEXAS CITY, TX 77591 (Tel: 4099493406)

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Updated Business Mailing Address August 21, 2012

Registered at PO BOX 939, LA MARQUE, TX 775680939 (Tel: 4099493406)

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Provider Name / Credentials Updated August 21, 2012

Recorded as RICHARD RANDOLPH, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2012

Dentist (License #20141 in TX)

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Initial NPI Registration & Enumeration October 03, 2006

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: 1497849665
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 03, 2006
Last Update: August 21, 2012
Deactivation Date: September 16, 2019

Mailing Address

Po Box 939

La Marque, TX 775680939

Phone: 4099493406

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.