NPIMap

Organization Active NPI

Randall & Randall Dental Association

  • Dentist
  • Lewisville, TX
National Provider Identifier
1508251331
Registry record updated Mar 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19682 Issued in TX
Legal business name
RANDALL & RANDALL DENTAL ASSOCIATION
Practice address
457 W Main St
Lewisville, TX 75057-3771
Phone
(972) 436-2431
Fax
(972) 436-5633
NPI assigned
Mar 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2015

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

Authorized official

Name
Dr. Andrew Warren Randall, DDS
Title
President
Phone
(972) 436-2431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 19682 TX Primary

Addresses

Primary practice location

457 W Main St
Lewisville, TX 75057-3771

Mailing address

457 W Main St
Lewisville, TX 75057-3771
Phone (972) 436-2431

National Provider Directory

National Provider Directory

Locations

457 W Main St
Lewisville, TX 75057
Phone (972) 436-2431

NPI Registry JSON

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427673600000",
    "number": "1508251331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 W MAIN ST",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573771",
            "telephone_number": "972-436-2431",
            "fax_number": "972-436-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 W MAIN ST",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573771",
            "telephone_number": "972-436-2431",
            "fax_number": "972-436-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL & RANDALL DENTAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-30",
        "last_updated": "2015-03-30",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "WARREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-436-2431",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "19682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.