Randy Allen Castle DMD, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D9350 Issued in OR

Legal business name

RANDY ALLEN CASTLE DMD, PC

Practice address

2350 SW Multnomah Blvd
Suite B
Portland, OR 97219-3999

Phone

(503) 245-3515

Fax

(503) 257-3722

NPI assigned

Nov 9, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Randy Allen Castle, DMDNPI 1205169612

Title

President

Phone

(503) 701-0191

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Randy Allen Castle, DMD

  • General Practice Dentistry
  • Portland, OR
  • NPI 1205169612
  NPD (past) Authorized official

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

{
    "created_epoch": "1352419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1063766251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 SW MULTNOMAH BLVD",
            "address_2": "SUITE B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972193999",
            "telephone_number": "503-245-3515",
            "fax_number": "503-257-3722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 SW MULTNOMAH BLVD",
            "address_2": "SUITE B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972193999",
            "telephone_number": "503-245-3515",
            "fax_number": "503-257-3722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDY ALLEN CASTLE DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-09",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "CASTLE",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-701-0191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "D9350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Randol
• Christopher Alan Randolph, ND
• Connie Rae Randolph, LPN
• Kamala Joy Randolph, M.D.
• Nicole Randt, OTR/L
• Sarah Carmen Rane, MSW
• Meagan Rochelle Ranes, LMT
• Ziphrianne Cina Raneses
• Amy Elisabeth Raney
• Ellen Marie Raney, M.D.

• Dental Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Dental Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.