Randall J. Altmann, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE9294 Issued in WA

Practice address

4815 N Assembly St
VA Medical Center, Dental Service (160)
Spokane, WA 99205-6185

Phone

(509) 434-7316

Fax

(509) 434-7145

NPI assigned

Nov 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1124191382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 N ASSEMBLY ST",
            "address_2": "VA MEDICAL CENTER, DENTAL SERVICE (160)",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992056185",
            "telephone_number": "509-434-7316",
            "fax_number": "509-434-7145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 N ASSEMBLY ST",
            "address_2": "VA MEDICAL CENTER, DENTAL SERVICE (160)",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992056185",
            "telephone_number": "509-434-7316",
            "fax_number": "509-434-7145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTMANN",
        "first_name": "RANDALL",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE9294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khaled Altawari
• Beatrice Claudia Altberg, PT
• Rebecca Althouse, LMP
• Paul D Altine, LMHCA
• Christopher A Altman, RRH, CDE
• Lindsey Altringer, DPT
• Carroll Noel Altsholer
• Sandra J Altshuler, LICSW, MSW, PH.D.
• Vera G Altukhov, L. M. T
• Jose L Alvarez, MSW, LICSWA

• General Practice Dentistry in Spokane, WA
• Providers in Spokane, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.