C. Randall Doan, DDS

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

15013 Issued in OH

Practice address

1456 Kaderly St NW
New Philadelphia, OH 44663-1243

Phone

(330) 364-8665

Fax

(330) 364-8667

NPI assigned

Feb 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Tuscarawas Oral & Maxillofacial Surgery, Inc.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • New Philadelphia, OH
  • NPI 1447227301

  Oral and Maxillofacial Surgery

  NPD (past) Authorized official
• Emmanuel C. Taylor, DDS, LLC:

  • Oral and Maxillofacial Surgery (Dentist)
  • New Philadelphia, OH
  • NPI 1063172427
  NPD (past)

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297123200000",
    "number": "1598731697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1456 KADERLY ST NW",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446631243",
            "telephone_number": "330-364-8665",
            "fax_number": "330-364-8667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1456 KADERLY ST NW",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446631243",
            "telephone_number": "330-364-8665",
            "fax_number": "330-364-8667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOAN",
        "first_name": "C. RANDALL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2011-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "15013",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "OH",
            "license": "15013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "43-00059",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "487716",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0472653",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Discount Drug Mart Inc
• Timothy Ditto
• Dixon Family Dentistry
• Dixon Family Dentistry
• Philip Henry Dixon, D.D.S.
• Hailey E Dobbs
• Benjamin Doering, OD
• Mitchell James Dolecki
• Dr Stein Optical Clinic Inc
• Dr. David D Starr LLC

• Oral & Maxillofacial Surgery (D.M.D.) in New Philadelphia, OH
• Providers in New Philadelphia, OH by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; 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.