Active NPI
Randall Craig Markarian, D.M.D., M.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Swansea, IL
National Provider Identifier
1497761597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Practice address
- 10 Park PL
Swansea, IL 62226-2967 - Phone
- (618) 236-7846
- Fax
- (628) 236-0842
- NPI assigned
- Jul 31, 2006
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | IL | Primary |
Addresses
Primary practice location
10 Park PL
Swansea, IL 62226-2967
Mailing address
10 Park Place
Swansea, IL 62226
Phone (618) 236-7846
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021-001734 | IL | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Markarian Orthodontics LLC | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
| Randall C Markarian DMD, Ms, PC | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Swansea, IL
- NPI 1356207401
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Swansea, IL
- NPI 1316397011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497761597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 PARK PLACE",
"city": "SWANSEA",
"state": "IL",
"postal_code": "62226",
"telephone_number": "618-236-7846",
"fax_number": "628-236-0842"
},
{
"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": "628-236-0842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARKARIAN",
"first_name": "RANDALL",
"middle_name": "CRAIG",
"name_prefix": "Dr.",
"credential": "D.M.D., M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Swansea, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.