Doctor profile · Federal record

Dr. Randall Smith

Pediatric Dentist · Ammon, ID

  • NPI 1659412724
  • 19 yrs on file
  • Male
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
2805 Eagle Drive
Ammon, ID 83406
(208) 542-1333
fax (208) 552-7296

Credentials & registration

NPPES · NUCC
NPI registered
February 2007 — 19 yrs on file
Profile last updated
April 8, 2024
Specialty taxonomy
1223P0221X — NUCC code
State license (1)
Idaho #D3257PD
Medicaid
ID #804126800

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1659412724. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$200
Transactions
3
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
A-dec, Inc. 3 $199.50

By nature of payment

Gift
$200

Frequently asked questions

Auto-generated from federal data
What is Dr. Randall Smith's medical specialty?
Dr. Randall Smith practices Pediatric Dentist in Ammon, ID.
Where does Dr. Randall Smith practice?
Dr. Randall Smith practices at 2805 Eagle Drive, Ammon, ID 83406. Office phone: 2085421333.
What is Dr. Randall Smith's NPI?
Dr. Randall Smith's National Provider Identifier (NPI) is 1659412724, issued by NPPES.