Grady Randall, DDS
NPI 1609188531 · Pediatric Dentistry · Grand Rapids, MI
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Grady Randall, DDS is a Pediatric Dentistry provider in Grand Rapids, MI (NPI 1609188531).
Provider details
- NPI number
- 1609188531
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- DEN.00201849 (CO)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-07-08
- Last updated
- 2019-03-28
Frequently asked questions
- What is Grady Randall's NPI number?
- Grady Randall's National Provider Identifier (NPI) is 1609188531, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Grady Randall's specialty?
- Grady Randall is listed in the NPPES registry with a primary specialty of Pediatric Dentistry (Dental Providers).
- Where is Grady Randall located?
- Grady Randall's practice location on file with NPPES is 1179 E Paris Ave Se, Grand Rapids, MI 49546-8371.
- What is Grady Randall's phone number?
- The practice phone number listed in the NPPES registry for Grady Randall is (616) 942-9840.
- Does Grady Randall accept Medicare?
- Grady Randall is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Grady Randall's NPI active?
- Yes — Grady Randall's NPI (1609188531) is active in the NPPES registry as of the last update on 2019-03-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.