Active NPI
Randy A Barone, DDS
- General Practice Dentistry
- Roswell, NM
National Provider Identifier
1093829707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1910
- Practice address
- 250 W Country Club Rd
Roswell, NM 88201-5250 - Phone
- (575) 623-4161
- Fax
- (575) 623-4144
- NPI assigned
- Aug 18, 2006
- Last updated
- May 14, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1910 | NM | Primary |
Addresses
Primary practice location
250 W Country Club Rd
Roswell, NM 88201-5250
Mailing address
250 W Country Club Rd
Roswell, NM 88201-5250
Phone (575) 623-4161
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 84143 | Other | NM | UNITED CONCORDIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1910 | NM | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Randy a. Barone, DDS, LLC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Roswell, NM
- NPI 1558456368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431561600000",
"number": "1093829707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 W COUNTRY CLUB RD",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882015250",
"telephone_number": "575-623-4161",
"fax_number": "575-623-4144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 W COUNTRY CLUB RD",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882015250",
"telephone_number": "575-623-4161",
"fax_number": "575-623-4144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARONE",
"first_name": "RANDY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2015-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NM",
"license": "1910",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "84143",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.