DR. RANDOLPH LEWIS KIXMILLER (NPI# 1609955871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609955871 |
| Entity Type | Individual |
| Full Name | DR. RANDOLPH LEWIS KIXMILLER |
| Credential | DDS |
| Practice Address |
212 S Tryon St 1502 Charlotte NC 28281 |
| Practice Telephone | 7043424014 |
| Practice Fax Number | 7043429806 |
| Mailing Telephone | 7043424014 |
| Mailing Fax Number | 7043429806 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 6873 | IN | Dental Providers |
| Y | 122300000X | Dentist | 103687 | NC | Dental Providers |
| Street Address |
212 S TRYON ST 1502 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28281 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043226640 | Steven Craig Mcareavy | Chiropractor | 212 S Tryon St, Suite 11, Charlotte, NC 28281-0001 | 2006-08-01 |
| 1336317601 | Randolph L. Kixmiller,dds,pa | Dentist | 212 S Tryon St, #1502, Charlotte, NC 28281-0001 | 2008-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083226906 | Relymd Medical Group Nc, Pllc | Family Medicine | 212 S Tryon St Ste 1000, Charlotte, NC 28281-0001 | 2020-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124937 | Denawa Deniece Alberti | Doula | 9711 David Taylor Dr Apt 111, Charlotte, NC 28262-2367 | 2020-11-06 |
| 1346841491 | Emily Brokaw | Marriage & Family Therapist | 10420 Park Rd # 100-b, Charlotte, NC 28210-8501 | 2020-11-05 |
| 1245831361 | Us Advocate Care LLC | Home Health | 1981 J N Pease Pl Ste 103, Charlotte, NC 28262-4529 | 2020-11-04 |
| 1972104008 | Kay Counseling, Pllc | Counselor | 9635 Southern Pine Blvd Ste 110, Charlotte, NC 28273-5545 | 2020-11-04 |
| 1043811573 | Innovative Home Assistance LLC | In Home Supportive Care | 8501 Tower Point Dr Ste B40, Charlotte, NC 28227-7849 | 2020-11-02 |
| 1588265144 | Blakeney Behavioral Health LLC | Counselor | 4401 E Independence Blvd Ste 208g, Charlotte, NC 28205-7485 | 2020-11-02 |
| 1619577244 | Jennifer Brickman | Behavior Technician | 905 Kenilworth Ave Apt 226, Charlotte, NC 28204-2947 | 2020-11-01 |
| 1396345112 | Good Shepherd Therapy | Speech-Language Pathologist | 10301 Oak Pond Cir, Charlotte, NC 28277-9506 | 2020-10-30 |
| 1184224727 | Kwanza Suzanne Winn | Social Worker | 2510 Hope Way Ln Apt 202, Charlotte, NC 28262-6955 | 2020-10-30 |
| 1336749324 | Wanda V Jones | Counselor | 11634 Windy Creek Dr Apt H, Charlotte, NC 28262-1923 | 2020-10-28 |
| Find all providers in CHARLOTTE | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275148553 | Marcus A. Bond Dds Pllc | Dentist | 1300 South Blvd Ste A, Charlotte, NC 28203-0006 | 2020-09-13 |
| 1902424021 | Kevin Louis Berman | Dentist | 2711 Randolph Rd Ste 205, Charlotte, NC 28207-2027 | 2020-07-07 |
| 1922636927 | Paulina M Kriska | Dentist | Cmc Dental Clinic, 1000 Blythe Blvd, Charlotte, NC 28203 | 2020-03-27 |
| 1467087858 | Attaway & Ung, Pllc | Dentist | 8220 University Exec Park Dr Ste 110, Charlotte, NC 28262-3380 | 2020-03-06 |
| 1447881529 | Anjali Seth Dds Pllc | Dentist | 9216 Ardrey Kell Rd Ste 400, Charlotte, NC 28277-4954 | 2020-01-28 |
| 1306486436 | Eshere Gbarbea | Dentist | 9511 Riverbend Village Dr Ste 15, Charlotte, NC 28216-9123 | 2020-01-07 |
| 1013569573 | Joannis Terry Sitaras | Dentist | 442 Wingrave Dr, Charlotte, NC 28270-5928 | 2019-07-15 |
| 1871145318 | Grant Tesmer | Dentist | 15105 John J Delaney Dr Ste K, Charlotte, NC 28277-2848 | 2019-07-15 |
| 1619536562 | Ankit Mahattej Amin | Dentist | 4815 Berewick Town Center Dr Ste J, Charlotte, NC 28278-6733 | 2019-06-12 |
| 1194388785 | Morgan Leighton | Dentist | 15825 Ballantyne Medical Pl Ste 150, Charlotte, NC 28277-4790 | 2019-04-18 |
| Find all providers in CHARLOTTE | ||||
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| 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.