Randa R Nasr, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

55273 Issued in CA

Practice address

12854 10TH St Ste D
Chino, CA 91710-4298

Phone

(909) 628-5540

NPI assigned

Jun 6, 2006

Sex

Female

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

Locations

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.

• Randa Nasr DDS

  • Dentist
  • Chino, CA
  • NPI 1790529287
  NPD Authorized official
• Cox Dental Corporation

  dba Gental Dental Orange

  • General Practice Dentistry
  • Orange, CA
  • NPI 1265644264
  NPD (past)
• Family & Cosmetic Gentle Dentistry, LTD

  • General Practice Dentistry
  • Eagan, MN
  • NPI 1093997546
  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1679512453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8824 E GARDEN VIEW DR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928081677",
            "telephone_number": "909-831-2072",
            "fax_number": "714-634-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12854 10TH ST STE D",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104298",
            "telephone_number": "909-628-5540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "424 S Main St Ste Hij",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928683824",
            "country_code": "US",
            "telephone_number": "714-639-1922",
            "fax_number": "714-634-1962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NASR",
        "first_name": "RANDA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naptime Diagnostics
• Danielle Rieza Narciso
• Mia Amore Narducci
• Huda Nasani
• Hani Adel Nasr, DDS
• National Vision Inc (America's Best Contacts & Eyeglasses)
• Nature Healing Center
• Brianna Nicole Nelson, CCC-SLP
• Rick Anthony Nevarez, MSPA, PA-C
• New Day Institute

• General Practice Dentistry in Chino, CA
• Providers in Chino, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; 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.