RANDOLPH EVANS FAMILY DENTISTRY (NPI# 1356725428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356725428 |
| Entity Type | Organization |
| Organization Name | RANDOLPH EVANS FAMILY DENTISTRY |
| Practice Address |
22 Sierra Dr Martinsburg WV 25403-1133 |
| Mailing Address |
23 Litchfield Ln E Martinsburg WV 25405-9644 |
| Practice Telephone | 3042633131 |
| Mailing Telephone | 3042038956 |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2015-07-17 |
| Authorized Official Name | DR. RANDOLPH EVANS (DENTIST/OWNER) |
| Authorized Official Telephone | 3042633131 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
4175 | WV | Ambulatory Health Care Facilities |
| Street Address |
22 SIERRA DR |
| City | MARTINSBURG |
| State | WV |
| Zip Code | 25403-1133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588178479 | Tuscarora Dentistry Pllc | Clinic/Center | 22 Sierra Dr, Martinsburg, WV 25403-1133 | 2017-11-30 |
| 1740665892 | Brandon Smith | Dentist | 22 Sierra Dr, Martinsburg, WV 25403-1133 | 2015-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366912339 | Elizabeth Hutzler | Registered Nurse | Berkeley County Brd of Education, 1453 Wincherster Avenue, Martinsubug, WV 25403 | 2018-12-03 |
| 1326442146 | Jennifer Anne Markovits | Pharmacist | 1171 Horizon Way, Martinsburg, WV 25403 | 2014-10-22 |
| 1255763819 | Parkhill Counseling, LLC | Counselor | 93 Crimson Cr., Martinsburg, WV 25403 | 2013-08-06 |
| 1265556039 | Andrea Christina Petrucci Kackley | Counselor | 2914 Hedgesville Road, Apple Ridge Counseling Associates, Martinsburg, WV 25403 | 2007-03-19 |
| 1568935583 | Joy Gesford | Registered Nurse | Berkeley County Board of Education, 1453 Winchester Avenue, Martinsburg, WV 25403 | 2019-01-03 |
| 1295203818 | Tina Cameron | Registered Nurse | Berkeley County Board of Education, 1453 Winchester Avenue, Martinsburg, WV 25403 | 2018-11-13 |
| 1376718882 | Patricia M Hartman | Dentist | 50 Street of Dreams, Martinsburg, WV 25403 | 2008-04-25 |
| 1700217585 | Thais Gonzalez | Nurse's Aide | 416 Gantt Dr, Martinsburg, WV 25403-0281 | 2013-12-04 |
| 1407319726 | Kimberly Anne Saul | Nurse Practitioner | 3 Ceritos Trl, Martinsburg, WV 25403-0300 | 2019-04-12 |
| 1962745950 | Jason Bryce Swalm | Emergency Medicine | 3 Ceritos Trail, Martinsburg, WV 25403-0300 | 2013-03-28 |
| Find all providers in zip 25403 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992284335 | Erica B. Patthoff, Dds, Pllc | Clinic/Center | 300 Foxcroft Ave Ste 302, Martinsburg, WV 25401-5341 | 2018-08-07 |
| 1588178479 | Tuscarora Dentistry Pllc | Clinic/Center | 22 Sierra Dr, Martinsburg, WV 25403-1133 | 2017-11-30 |
| 1134387970 | William F. Queen, Dds, Pllc | Clinic/Center | 902 N Queen St, Martinsburg, WV 25404-3545 | 2008-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629689872 | Almost Heaven Sleep Solutions Pllc | Clinic/Center | 1002 Neville St, Beckley, WV 25801-4324 | 2020-08-12 |
| 1063053437 | Hedgesville Dental Arts Pllc | Clinic/Center | 101 N. Mary St., Hedgesville, WV 25427 | 2019-10-07 |
| 1174046122 | Rominger Dental | Clinic/Center | 20 Shaner Dr Ste 108, Bridgeport, WV 26330-2506 | 2017-07-21 |
| 1215385935 | Bruceton Dental Pllc | Clinic/Center | 128 Green Street, Bruceton Mills, WV 26525 | 2016-06-03 |
| 1093183774 | Mineral County Board of Health | Clinic/Center | Rr 3 Box 3045, Keyser, WV 26726-9401 | 2015-09-11 |
| 1174920110 | Christy Kenna Fox, Dds, Inc. | Clinic/Center | 606 Stokes Dr, Suite B, Hinton, WV 25951-2554 | 2014-11-19 |
| 1841596277 | Lincoln County Primary Care Center, Inc. | Clinic/Center | 2508 Straight Fork Rd, Alkol, WV 25501 | 2011-02-02 |
| 1265603799 | Tony K. Virgin | Clinic/Center | 420 11th St, Huntington, WV 25701 | 2008-03-12 |
| 1295915866 | Charles E Wright Dds | Clinic/Center | 1005b Bridge Rd, Charleston, WV 25314-1305 | 2007-11-12 |
| 1235258757 | Kevin C. Lucky Dds Pllc | Clinic/Center | 1110 Johnstown Road, Beckley, WV 25801 | 2007-03-28 |
| Find all providers with the same taxonomy | ||||
| City | MARTINSBURG |
| Zip Code | 25403 |
Please comment or provide details below to improve the information on RANDOLPH EVANS FAMILY DENTISTRY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.