Individual provider Active NPI

Randall Wayne Carlton, DDS

  • General Practice Dentistry
  • Yoakum, TX
National Provider Identifier
1609072750
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23368 Issued in TX
Practice address
1104 W. Grand Ave
Yoakum, TX 77995
Phone
(361) 293-6042
Fax
(361) 293-2904
NPI assigned
Jun 25, 2007
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 23368 TX
General Practice Dentistry 1223G0001X 23368 TX Primary

Addresses

Primary practice location

1104 W. Grand Ave
Yoakum, TX 77995

Mailing address

1104 W. Grand Ave
Yoakum, TX 77995
Phone (361) 293-6042

Other identifiers 2

IdentifierTypeStateIssuer
196489202MedicaidTX
196489211MedicaidTX

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

LicenseStateTypeSpecialty
23368TXMDGeneral Practice Dentistry

Interoperability endpoints

  • Direct secure messaging: randall.carlton.1@28291.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1609072750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 W. GRAND AVE",
            "city": "YOAKUM",
            "state": "TX",
            "postal_code": "77995",
            "telephone_number": "361-293-6042",
            "fax_number": "361-293-2904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 W. GRAND AVE",
            "city": "YOAKUM",
            "state": "TX",
            "postal_code": "77995",
            "telephone_number": "361-293-6042",
            "fax_number": "361-293-2904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLTON",
        "first_name": "RANDALL",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-25",
        "last_updated": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "23368",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196489202",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196489211",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yoakum, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; 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.