Randy L Ball PLLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DE60539741 Issued in WA

Legal business name

RANDY L BALL PLLC

Doing business as

Sammamish Endodontics

Practice address

336 228TH Ave NE Ste 201
Sammamish, WA 98074-7290

Phone

(425) 657-0538

Fax

(425) 657-0772

NPI assigned

Aug 16, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Randy L Ball, DMD, MSD

Title

Member

Phone

(425) 281-7898

Specialties & licenses 1

Addresses

Other names 1

• Sammamish Endodontics Doing business as

Locations

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502841600000",
    "number": "1679099246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 LANCASTER WAY SE",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980757176",
            "telephone_number": "425-281-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 228TH AVE NE STE 201",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980747290",
            "telephone_number": "425-657-0538",
            "fax_number": "425-657-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDY L BALL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-16",
        "last_updated": "2017-08-16",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "425-281-7898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MSD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "DE60539741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sammamish Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Badeea Qureshi, MD
• Shwetiha Rajagopal, MD
• Janae Rame, PHARMD
• Isaac Ramirez
• Amy Randleas, LMP
• Rediclinic of Wa, LLC
• Cheryl Tallant Reed, ATC
• Stephanie Paige Regus, PSYD
• Peter Riana, CB
• Janice Louise Rice, PAY.D

• Endodontics in Sammamish, WA
• Providers in Sammamish, WA by specialty
• Endodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2017; 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.