Ryan Randol DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

RYAN RANDOL DDS PC

Practice address

3993 Lake Grove Ave
Lake Oswego, OR 97035-4493

Phone

(503) 636-0055

NPI assigned

Mar 25, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ryan Randol, D.D.S.

Title

President

Phone

(541) 671-3716

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jack Albert Henry, D.M.D.

  • General Practice Dentistry
  • Lake Oswego, OR
  • NPI 1306860556
  NPD (past)
• Harris Phuong Hong Tran, D.D.S.

  • Dentist
  • Lake Oswego, OR
  • NPI 1760673701
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427241600000",
    "number": "1003200205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3993 LAKE GROVE AVE",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970354493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3993 LAKE GROVE AVE",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970354493",
            "telephone_number": "503-636-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN RANDOL DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-25",
        "last_updated": "2015-03-25",
        "status": "A",
        "authorized_official_last_name": "RANDOL",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-671-3716",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Renee Ruiz, APRN, FNP-BC
• Kaylee Ruiz, M.A, BCBA
• John Rumpakis, O.D., M.B.A.
• Douglas A. Rust, DMD
• Margaret Mary Rust, L.P.C.
• Christine Ryu, MD
• Jon-Michael Anthony Saenz, MD
• Nikole Safarov
• Safeway Inc
• Safeway Inc

• General Practice Dentistry in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.