NPI age
11 years
Enumerated 2014-06-20
● Active
Type 1 · Individual
DR. Randi Mellon, DDS
Mellon is 1 of 730 dentist providers in San Antonio and 1 of 9237 in Texas.
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
TX, MA
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-12-19
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 9237 active dentist providers in Texas.
NPI age
11 years
≈ at median (12 yr)
State licenses
2 states
Top 93% — 7% of peers are multi-state
Subspecialties
0
16% of peers hold subspecialties
NPI lifetime · 2014 → 2026
2014-06Enumerated in NPPES
2014
2026
Where they practice
Practice location
11010 W Fm 471 Ste 104
San Antonio, TX 782534991
Mailing address
3285 Broad Oak Dr
Bandera, TX 780033784
Specialties
-
Dentist PrimaryA dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
Recently enumerated nearby: 2 new dentist providers have been added in San Antonio in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.