Rand L. Redfern, DDS, PC
Dentist, Oral and Maxillofacial Radiology in Colorado Springs, CO. Organization (NPI-2).
NPI number1003842279
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1003842279
- Entity type
- Organization (NPI-2)
- Legal business name
- Rand L. Redfern, DDS, PC
- Organization subpart
- No
- Enumeration date
- Jun 22, 2006
- Last updated
- Sep 11, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0008X | Dentist, Oral and Maxillofacial Radiology | HD104066 | CO | Yes |
| 1223G0001X | Dentist, General Practice | HD104066 | CO |
Practice location
669 Citadel Dr EColorado Springs, CO 80909-5313
Phone 719-599-9090 · Fax 719-573-9091
Mailing address
669 Citadel Dr EColorado Springs, CO 80909-5313
Phone 719-599-9090 · Fax 719-573-9091
Authorized official
Rand L. Redfern
President
7195999090
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 10 free a day, then credits from $29 for 5,000. Useful for credentialing, billing and pharmacy claim checks.