Randall Merle Dick, M.D. P.A.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

H8624 Issued in TX

Practice address

2101 Plantation LN
Plano, TX 75093-4220

Phone

(972) 202-3423

Fax

(972) 202-3423

NPI assigned

Sep 14, 2006

Last updated

Dec 5, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Randall M Dick Professional name

Medicare fee-for-service enrollment

Enrolled in TX, WY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rdick456389@direct.stlukeshealth.org

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.

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• Randall M Dick MD PA

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• John R Sykes MD PA

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1538264361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848775",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022848775",
            "telephone_number": "972-202-3423",
            "fax_number": "972-202-3423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 PLANTATION LN",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934220",
            "telephone_number": "972-202-3423",
            "fax_number": "972-202-3423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2602 Saint Michael Dr Ste 301",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "TX",
            "postal_code": "755035206",
            "country_code": "US",
            "telephone_number": "903-614-5258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICK",
        "first_name": "RANDALL",
        "middle_name": "MERLE",
        "name_prefix": "Dr.",
        "credential": "M.D. P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "H8624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "098446001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RANDALL",
            "last_name": "DICK",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "M.D. P.A.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jenna Diaz
• Marlene Diaz, M.D.
• Yennier Diaz, FNP-C
• Chadi Dib, MD
• Ngonje Emilia Dibaki
• Raychel Dickerson, M.S., LPC-ASSOCIATE
• Zoe Michelle Dickerson, PT, DPT
• Darren Dickson, D.D.S., P.A.
• Jami Mayorga Dickson, NURSE PRACTIONER
• Dannah Diebas

• Anesthesiology Physician in Plano, TX
• Providers in Plano, TX by specialty
• Anesthesiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.

Verify at the official NPI Registry.