Randall J Monnes, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D6237 Issued in OR

Practice address

915 NE 2ND St
Gresham, OR 97030-7512

Phone

(503) 665-8283

Fax

(503) 669-7263

NPI assigned

Jan 11, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679623557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 NE 2ND ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307512",
            "telephone_number": "503-665-8283",
            "fax_number": "503-669-7263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 NE 2ND ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307512",
            "telephone_number": "503-665-8283",
            "fax_number": "503-669-7263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONNES",
        "first_name": "RANDALL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D6237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Anthony Mistretta, PHARMD
• Tashana L Mithen
• Drake Miyake, MSW
• Mobile Vaccs LLC
• Irma Bernadette Molina, LMT
• Shirley Ann Monroe, M.A., L.P.C.
• Brian Kenneth Monson, MSW, CSWA
• Aaron Montgomery, D.C.
• Craig Stanley Montgomery, PHD
• Hilary Dawn Montgomery, PMHNP

• General Practice Dentistry in Gresham, OR
• Providers in Gresham, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.