Organization Active NPI

Randall L. Foto D.D.S.

  • Durable Medical Equipment & Medical Supplies
  • Mandeville, LA
National Provider Identifier
1538535927
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
4782 Issued in LA
Legal business name
RANDALL L. FOTO D.D.S.
Practice address
645 Lotus Drive N
Suite B
Mandeville, LA 70471
Phone
(985) 626-4447
Fax
(985) 674-6688
NPI assigned
Aug 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

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

Authorized official

Name
Dr. Randall L Foto, D.D.S.NPI 1538261128
Title
President
Phone
(985) 626-4447

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 4782 LA Primary

Addresses

Primary practice location

645 Lotus Drive N
Suite B
Mandeville, LA 70471

Mailing address

645 Lotus Dr N
Suite B
Mandeville, LA 70471-3304
Phone (985) 626-4447

Other identifiers 2

IdentifierTypeStateIssuer
1538261128OtherLADENTAL NPI
1114315876OtherLANPI TYPE 2 FOR MEDICARE

National Provider Directory

National Provider Directory

Locations

645 Lotus Dr N
Ste B
Mandeville, LA 70471
Phone (985) 626-4447

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1538535927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 LOTUS DR N",
            "address_2": "SUITE B",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713304",
            "telephone_number": "985-626-4447",
            "fax_number": "985-674-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 LOTUS DRIVE N",
            "address_2": "SUITE B",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "70471",
            "telephone_number": "985-626-4447",
            "fax_number": "985-674-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL L. FOTO D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "FOTO",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "985-626-4447",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": "4782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL NPI",
            "identifier": "1538261128",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 2 FOR MEDICARE",
            "identifier": "1114315876",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.