Randall Family Dentistry PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

RANDALL FAMILY DENTISTRY PLLC

Doing business as

Chino Valley Family Dental

Practice address

1598 Susan a Williams Way Ste E
Chino Valley, AZ 86323-6171

Phone

(928) 636-6872

NPI assigned

May 11, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Nick Randall, DMDNPI 1538316674

Title

President

Phone

(928) 636-6872

Specialties & licenses 1

Addresses

Other names 1

• Chino Valley Family Dental Doing business as

Electronic endpoints 1

Locations

Practitioners 1

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

• Nick Randall, DMD

  • Dentist
  • Mesa, AZ
  • NPI 1538316674
  NPD Authorized official

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1649916628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1598 SUSAN A WILLIAMS WAY STE E",
            "city": "CHINO VALLEY",
            "state": "AZ",
            "postal_code": "863236171",
            "telephone_number": "928-636-6872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1598 SUSAN A WILLIAMS WAY STE E",
            "city": "CHINO VALLEY",
            "state": "AZ",
            "postal_code": "863236171",
            "telephone_number": "928-636-6872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-636-6872",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@chinovalleyfamilydental.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1598 Susan A Williams Way Ste E",
            "city": "Chino Valley",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "863236171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Chino Valley Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marcos Josue Pena
• Keebyn Tasha Pistel, PT
• Prescott Healthcare Solutions LLC
• Kevin Ross Pullins, RDCS, BS
• Quest Medicine LTD
• Cheryl R Ree, MD
• Cynthia N Rentschler, RD
• Grace Ellen Rentschler, PTA
• Maisie Mae Reynoldson, DPT
• Delaila M Rhoades

• Dental Clinic/Center in Chino Valley, AZ
• Providers in Chino Valley, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.