Randall K. Freeman, DDS

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

RANDALL K. FREEMAN, DDS

Practice address

54 West Main Street
Bloomfield, NY 14469-9231

Phone

(585) 657-6909

Fax

(585) 657-7016

NPI assigned

Jun 24, 2009

Last updated

Jun 24, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathy L Dailey

Title

Office Coordinator

Phone

(585) 657-6909

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245801600000",
    "number": "1053549568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 WEST MAIN STREET",
            "address_2": "PO BOX 369",
            "city": "BLOOMFIELD",
            "state": "NY",
            "postal_code": "144699231",
            "telephone_number": "585-657-6909",
            "fax_number": "585-657-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 WEST MAIN STREET",
            "city": "BLOOMFIELD",
            "state": "NY",
            "postal_code": "144699231",
            "telephone_number": "585-657-6909",
            "fax_number": "585-657-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL K. FREEMAN, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-24",
        "last_updated": "2009-06-24",
        "status": "A",
        "authorized_official_last_name": "DAILEY",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE COORDINATOR",
        "authorized_official_telephone_number": "585-657-6909"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Bloomfield, NY
• Providers in Bloomfield, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; 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.