Randall Wayne Lerich, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

014536 Issued in TX

Practice address

540 10TH St
Suite 128
Floresville, TX 78114-3154

Phone

(830) 393-4965

NPI assigned

Sep 28, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144311671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 753",
            "city": "FLORESVILLE",
            "state": "TX",
            "postal_code": "781140753",
            "telephone_number": "830-393-4965",
            "fax_number": "830-393-8651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 10TH ST",
            "address_2": "SUITE 128",
            "city": "FLORESVILLE",
            "state": "TX",
            "postal_code": "781143154",
            "telephone_number": "830-393-4965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LERICH",
        "first_name": "RANDALL",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "014536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Kolodziej
• Randy Kreidel, DDS
• Shauna Kroll, NP-C
• Ashley Nicole Laskowski, FNP-C
• Joung Woo Lee, D.M.D.
• Gina Martin Lowery, LMSW
• Phaidra Reese Malcher, DPT, PT
• Ana V. Mancuso, M.D.
• William Bert Marshall Jr., LAT
• Jonathan Edward Martinez, RPH.

• General Practice Dentistry in Floresville, TX
• Providers in Floresville, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.