Doctor profile · Federal record
Dr. Randi Mellon, DDS
Dentist · Dentist · San Antonio, TX
- NPI 1801200514
- 12 yrs on file
- Licensed in 2 states
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
11010 W Fm 471 Ste 104
San Antonio, TX 782534991
(210) 688-9386 - Mailing address
-
3285 Broad Oak Dr
Bandera, TX 780033784
Credentials & registration
- NPI registered
- June 2014 — 12 yrs on file
- Profile last updated
- December 19, 2022
- Specialty taxonomy
- 122300000X — NUCC code
- State licenses (2)
- Texas #30105 · Massachusetts #DN1858319
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1801200514. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$9
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Ultradent Products INC | 1 | $9.23 |
By nature of payment
Frequently asked questions
What is Dr. Randi Mellon's medical specialty?
Dr. Randi Mellon practices Dentist in San Antonio, TX.
Where does Dr. Randi Mellon practice?
Dr. Randi Mellon practices at 11010 W Fm 471 Ste 104, San Antonio, TX 782534991. Office phone: 2106889386.
What is Dr. Randi Mellon's NPI?
Dr. Randi Mellon's National Provider Identifier (NPI) is 1801200514, issued by NPPES.