Active NPI
Randy William Garland, DDS
- Endodontics
- Encinitas, CA
National Provider Identifier
1033138326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 36150
- Practice address
- 531 Encinitas Blvd Ste 101
Encinitas, CA 92024-3782 - Phone
- (760) 944-0048
- Fax
- (760) 944-1432
- NPI assigned
- Jul 19, 2006
- Last updated
- Oct 27, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 36150 | CA | Primary |
Addresses
Primary practice location
531 Encinitas Blvd Ste 101
Encinitas, CA 92024-3782
Mailing address
531 Encinitas Blvd Ste 101
Encinitas, CA 92024-3782
Phone (760) 944-0048
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36150 | CA | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698364800000",
"number": "1033138326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "531 ENCINITAS BLVD STE 101",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920243782",
"telephone_number": "760-944-0048",
"fax_number": "760-944-1432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "531 ENCINITAS BLVD STE 101",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920243782",
"telephone_number": "760-944-0048",
"fax_number": "760-944-1432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARLAND",
"first_name": "RANDY",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2023-10-27",
"certification_date": "2023-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "36150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Encinitas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.