Randall Wayne Szutz, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

34430 Issued in CA

Practice address

74930 Country Club Dr
Ste# 510
Palm Desert, CA 92260-1980

Phone

(760) 341-2599

Fax

(760) 836-0808

NPI assigned

Feb 19, 2007

Last updated

Mar 10, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rod Strober DDS, Inc.

  • Dentist
  • Rancho Mirage, CA
  • NPI 1669022927
  NPD (past)

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1659415966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72775 FRANK SINATRA DR",
            "address_2": "STE B",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703229",
            "telephone_number": "760-832-7915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74930 COUNTRY CLUB DR",
            "address_2": "STE# 510",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922601980",
            "telephone_number": "760-341-2599",
            "fax_number": "760-836-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZUTZ",
        "first_name": "RANDALL",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-19",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "34430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Ann Svadlenak, RN
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• Ashley Swain
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• Kimberly Ann Tahernia
• Allison Talarico, RN
• Numia Iwilanioku'Umaukane Taloa-Wolter

• Dentist in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.