Organization Active NPI

Andrew W Randall DDS & Assoicates, PC

  • Dentist
  • Dallas, TX
National Provider Identifier
1063746006
Registry record updated Sep 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19682 Issued in TX
Legal business name
ANDREW W RANDALL DDS & ASSOICATES, PC
Practice address
6805 Hillcrest Avenue, Suite 218
Dallas, TX 75205
Phone
(214) 750-4901
Fax
(214) 750-7408
NPI assigned
Sep 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2009

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

Authorized official

Name
Dr. Andrew Warren Randall, D.D.S.
Title
President
Phone
(214) 750-4901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 19682 TX Primary

Addresses

Primary practice location

6805 Hillcrest Avenue, Suite 218
Dallas, TX 75205

Mailing address

6805 Hillcrest Avenue, Suite 218
Dallas, TX 75205
Phone (214) 750-4901

National Provider Directory

National Provider Directory

Locations

6805 Hillcrest Ave
Ste 218
Dallas, TX 75205
Phone (214) 750-4901

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253664000000",
    "number": "1063746006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6805 HILLCREST AVENUE, SUITE 218",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75205",
            "telephone_number": "214-750-4901",
            "fax_number": "214-750-7408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6805 HILLCREST AVENUE, SUITE 218",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75205",
            "telephone_number": "214-750-4901",
            "fax_number": "214-750-7408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW W RANDALL DDS & ASSOICATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-23",
        "last_updated": "2009-09-23",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "WARREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-750-4901",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "19682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.