Active NPI
James Matthew Randall, DMD
- General Practice Dentistry
- Prairieville, LA
National Provider Identifier
1538143003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5134
- Practice address
- 16044 Highway 73 Ste 101a
Prairieville, LA 70769-3595 - Phone
- (225) 744-2273
- Fax
- (225) 744-2275
- NPI assigned
- Nov 30, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5134 | LA | Primary |
Addresses
Primary practice location
16044 Highway 73 Ste 101a
Prairieville, LA 70769-3595
Mailing address
16044 Highway 73 Ste 101a
Prairieville, LA 70769-3595
Phone (225) 744-2273
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5134 | LA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| College Family Dentistry, LLC | 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 and National Provider Directory roles.
-
- Dentist
- Baton Rouge, LA
- NPI 1891326146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605657600000",
"number": "1538143003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16044 HIGHWAY 73 STE 101A",
"city": "PRAIRIEVILLE",
"state": "LA",
"postal_code": "707693595",
"telephone_number": "225-744-2273",
"fax_number": "225-744-2275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16044 HIGHWAY 73 STE 101A",
"city": "PRAIRIEVILLE",
"state": "LA",
"postal_code": "707693595",
"telephone_number": "225-744-2273",
"fax_number": "225-744-2275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDALL",
"first_name": "JAMES",
"middle_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-30",
"last_updated": "2020-11-18",
"certification_date": "2020-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "LA",
"license": "5134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prairieville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.