Dr Randall J Eggert DDS PS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DE00007583 Issued in WA

Legal business name

DR RANDALL J EGGERT DDS PS

Practice address

8575 164TH Ave NE
Suite 300
Redmond, WA 98052-3679

Phone

(425) 882-9116

Fax

(425) 882-9136

NPI assigned

Nov 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Randall J Eggert, D.D.S., P.S.NPI 1770668626

Title

Owner, Oral Surgeon

Phone

(425) 882-9116

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Randall James Eggert, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Redmond, WA
  • NPI 1770668626
  NPD (past) Authorized official
• Nima Ehsan, MD, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Redmond, WA
  • NPI 1962781427
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1518038017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8575 164TH AVE NE",
            "address_2": "SUITE 300",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523679",
            "telephone_number": "425-882-9116",
            "fax_number": "425-882-9136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8575 164TH AVE NE",
            "address_2": "SUITE 300",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523679",
            "telephone_number": "425-882-9116",
            "fax_number": "425-882-9136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR RANDALL J EGGERT DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "EGGERT",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER, ORAL SURGEON",
        "authorized_official_telephone_number": "425-882-9116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., P.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "DE00007583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helen Kay Dowden, BA, LPN
• Barbara Mae Doyle, RPT
• Mary Jo Jo Doyle, M.ED
• Dr Alan Nohr & Associates
• Dr Garrick J Lo DDS PLLC
• Dr Sepideh Torkan DDS Ms PLLC
• Dr Tiffany J Hollenbeck PLLC
• Dr. Kathleen Worsley
• Dr. Sam Hsu & Associates, P.S
• Dragonfly LLC

• Oral and Maxillofacial Surgery (Dentist) in Redmond, WA
• Providers in Redmond, WA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.

Verify at the official NPI Registry.