Active NPI
Randy Blair, DDS
- Dentist
- Richland, WA
National Provider Identifier
1427382910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE 60089784
- Practice address
- 343 Wellsian Way
Suite 103
Richland, WA 99352 - Phone
- (509) 943-3232
- NPI assigned
- Sep 30, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE 60089784 | WA | Primary |
Addresses
Primary practice location
343 Wellsian Way
Suite 103
Richland, WA 99352
Mailing address
3095 Keene Rd
Richland, WA 99352-7703
Phone (509) 943-3232
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150611001128 | WA | Order and Referring Only - Other (Non-Physician) | 7012238348 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE 60089784 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Randy N Blair DDS PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527811200000",
"number": "1427382910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3095 KEENE RD",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993527703",
"telephone_number": "509-943-3232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "343 WELLSIAN WAY",
"address_2": "SUITE 103",
"city": "RICHLAND",
"state": "WA",
"postal_code": "99352",
"telephone_number": "509-943-3232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAIR",
"first_name": "RANDY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-30",
"last_updated": "2018-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE 60089784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2018; 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.