Individual provider Active NPI

Rand Kaddou, DDS

  • General Practice Dentistry
  • N Tonawanda, NY
National Provider Identifier
1225956949
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
42382 Issued in TX
Practice address
7386 Shawnee Rd Apt 1
N Tonawanda, NY 14120-1395
Phone
(248) 839-8060
NPI assigned
Jul 9, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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 42382 TX Primary

Addresses

Primary practice location

7386 Shawnee Rd Apt 1
N Tonawanda, NY 14120-1395

Mailing address

7386 Shawnee Rd Apt 1
N Tonawanda, NY 14120-1395

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

NPI Registry JSON

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

{
    "created_epoch": "1783555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1225956949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7386 SHAWNEE RD APT 1",
            "city": "N TONAWANDA",
            "state": "NY",
            "postal_code": "141201395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7386 SHAWNEE RD APT 1",
            "city": "N TONAWANDA",
            "state": "NY",
            "postal_code": "141201395",
            "telephone_number": "248-839-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADDOU",
        "first_name": "RAND",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-09",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "42382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Tonawanda, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.