Randy Joseph Halihan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

475 W Terra Cotta Ave
Suite B1
Crystal Lake, IL 60014-3407

Phone

(815) 444-6444

Fax

(815) 444-6446

NPI assigned

Nov 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043387335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6108 WHITING DR",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600501705",
            "telephone_number": "815-271-5484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 W TERRA COTTA AVE",
            "address_2": "SUITE B1",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143407",
            "telephone_number": "815-444-6444",
            "fax_number": "815-444-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALIHAN",
        "first_name": "RANDY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Lynn Hahnfeld, LCPC
• Haider Medical Group, LTD
• Shabana Haider
• Syed Waseem Haider, M.D.
• Henna Hakala, PTA
• Christine Hall
• Ronald W Hall II, LCPC
• Lindsey J Halpern-Givens, LCPC
• Lindsey Hammonds, LCSW, CADC
• Ramadan Hammoud, M.D.

• General Practice Dentistry in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.