Individual provider Active NPI

Randle Neal Samuels, D.D.S.

  • General Practice Dentistry
  • Ferndale, MI
National Provider Identifier
1235183310
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901018212 Issued in MI
Practice address
22750 Woodward Ave
Suite #205
Ferndale, MI 48220-1777
Phone
(248) 542-4050
Fax
(248) 542-9732
NPI assigned
May 21, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 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 2901018212 MI Primary

Addresses

Primary practice location

22750 Woodward Ave
Suite #205
Ferndale, MI 48220-1777

Mailing address

22750 Woodward Ave
Suite #205
Ferndale, MI 48220-1777
Phone (248) 542-4050

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1148169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1235183310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22750 WOODWARD AVE",
            "address_2": "SUITE #205",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201777",
            "telephone_number": "248-542-4050",
            "fax_number": "248-542-9732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22750 WOODWARD AVE",
            "address_2": "SUITE #205",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201777",
            "telephone_number": "248-542-4050",
            "fax_number": "248-542-9732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELS",
        "first_name": "RANDLE",
        "middle_name": "NEAL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901018212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ferndale, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.