Randall C Markarian DMD, Ms, PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

019-022945 Issued in IL

Legal business name

RANDALL C MARKARIAN DMD, MS, PC

Practice address

10 Park PL
Swansea, IL 62226-2967

Phone

(618) 236-7846

Fax

(618) 236-0842

NPI assigned

Jun 14, 2016

Last updated

Jun 14, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Randall C Markarian, DMD, MSNPI 1497761597

Title

Orthodontist/Owner

Phone

(618) 236-7846

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Randall Craig Markarian, D.M.D., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Swansea, IL
  • NPI 1497761597
  NPD (past) Authorized official

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465862400000",
    "number": "1316397011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PARK PL",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262967",
            "telephone_number": "618-236-7846",
            "fax_number": "618-236-0842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PARK PL",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262967",
            "telephone_number": "618-236-7846",
            "fax_number": "618-236-0842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL C MARKARIAN DMD, MS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-14",
        "last_updated": "2016-06-14",
        "status": "A",
        "authorized_official_last_name": "MARKARIAN",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ORTHODONTIST/OWNER",
        "authorized_official_telephone_number": "618-236-7846",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "019-022945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Swansea, IL
• Providers in Swansea, IL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.