Dr. Charles Jared Randall, DDS
Dr. Charles Jared Randall is a Orthodontics and Dentofacial Orthopedics Dentistry provider (Dentist) practicing in Ammon, ID, registered in the NPPES registry with NPI 1710035829 since 2007. The credential DDS stands for Doctor of Dental Surgery. Practices at Randall Orthodontics, P.A. (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1710035829 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Charles Jared Randall |
| Credential | DDS |
| Sex | Male |
| Practice address | 3285 E. 17TH ST., Ammon, ID, 83406 |
| Phone | 2085233380 |
| Fax | 2085233077 |
| Enumeration date | 2007-01-08 |
| Last updated in NPPES | 2009-07-24 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | Primary | D-3405-OR | ID |
DDS — Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 806122100 | Medicaid | ID | — |
Copy-ready billing details
Provider: Charles Randall, DDS NPI: 1710035829 Taxonomy: 1223X0400X (Orthodontics and Dentofacial Orthopedics Dentistry) Address: 3285 E. 17TH ST., Ammon, ID, 83406
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1902032246 | Randall Orthodontics, P.A. | Organization | Orthodontics and Dentofacial Orthopedics Dentistry | Ammon, ID |
Verify this record
Cross-check NPI 1710035829 against the authoritative CMS record: view Dr. Charles Jared Randall on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2009-07-24.