Organization Active NPI

Randall M Dick MD PA

  • Anesthesiology Physician
  • Plano, TX
National Provider Identifier
1083735682
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
H8624 Issued in TX
Legal business name
RANDALL M DICK MD PA
Practice address
2101 Plantation LN
Plano, TX 75093-4220
Phone
(972) 202-3425
Fax
(972) 202-3423
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Authorized official

Name
Dr. Randall M Dick, MDNPI 1538264361
Title
President
Phone
(972) 202-3425

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X H8624 TX Primary

Addresses

Primary practice location

2101 Plantation LN
Plano, TX 75093-4220

Mailing address

PO Box 848775
Boston, MA 02284-8775
Phone (972) 202-3425

National Provider Directory

National Provider Directory

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": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1083735682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848775",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022848775",
            "telephone_number": "972-202-3425",
            "fax_number": "972-202-3423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 PLANTATION LN",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934220",
            "telephone_number": "972-202-3425",
            "fax_number": "972-202-3423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL M DICK MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "DICK",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-202-3425",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "H8624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.