Individual provider Active NPI

Jennifer Lynn Rand, D.D.S.

  • General Practice Dentistry
  • McKinney, TX
National Provider Identifier
1184800856
Registry record updated Jan 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23427 Issued in TX
Practice address
175 Ridge Rd Ste 100
McKinney, TX 75070-5103
Phone
(972) 369-0700
Fax
(972) 369-0705
NPI assigned
Jan 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 23427 TX Primary

Addresses

Primary practice location

175 Ridge Rd Ste 100
McKinney, TX 75070-5103

Mailing address

175 Ridge Rd Ste 100
McKinney, TX 75070-5103
Phone (972) 369-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20161112000040 OK Order and Referring Only - DentistPractitioner - Dentist 3577842657

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1200096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200096000000",
    "number": "1184800856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 RIDGE RD STE 100",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750705103",
            "telephone_number": "972-369-0700",
            "fax_number": "972-369-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 RIDGE RD STE 100",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750705103",
            "telephone_number": "972-369-0700",
            "fax_number": "972-369-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAND",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-12",
        "last_updated": "2008-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.