DR. REX E RANDOLPH (D.C.) – Chiropractor, NPI 1730408113

DR. REX E RANDOLPH (D.C.) is a healthcare provider. based in Miamisburg, Ohio. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 2145 (OH). The NPI Number for DR. REX E RANDOLPH (D.C.) is 1730408113

Main info

Male
Sole Proprietor
32 Years Of Experience
Name
DR. REX E RANDOLPH (D.C.)
NPI
1730408113
Phone
(937) 384-9152
Address
9374 ROLLING GREENS TRL
Enumeration Date
24 May 2010
Last Update Date
24 May 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1994 (32 years ago)
PAC ID
9830616002
Professional Enrollment ID
I20250512000092
Address ID
OH430811447WE383XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

1,413 CHIROPRACTIC in OH

Provider Addresses for DR. REX E RANDOLPH (D.C.)

  • 9374 ROLLING GREENS TRL

    MIAMISBURG, OH 453426729

    Phone: (937) 384-9152

    Fax: (937) 384-9152

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-05-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250512000092IChiropracticOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45342)

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Reviews

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Frequently asked questions

What federal number belongs to DR. REX E RANDOLPH (D.C.)?
The federal identifier for DR. REX E RANDOLPH (D.C.) is NPI 1730408113.
Is DR. REX E RANDOLPH (D.C.)'s NPI currently valid?
The extract we use shows DR. REX E RANDOLPH (D.C.) as active.
What field does DR. REX E RANDOLPH (D.C.) work in?
You can think of DR. REX E RANDOLPH (D.C.) as practicing within Chiropractor. Clinical services aligned with this taxonomy classification.
What location shows for DR. REX E RANDOLPH (D.C.)?
We surface Miamisburg, Ohio for DR. REX E RANDOLPH (D.C.) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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