Active NPI
Randall L. Foto D.D.S.
- Durable Medical Equipment & Medical Supplies
- Mandeville, LA
National Provider Identifier
1538535927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 4782
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538261128 | Other | LA | DENTAL NPI |
| 1114315876 | Other | LA | NPI TYPE 2 FOR MEDICARE |
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Mandeville, LA
- NPI 1538261128
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.