Randy Ford Huffines

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS0000004242 Issued in TN

Practice address

James H. Quillen/Vamc
Corner of Sidney and Lamont
Johnson City, TN 37684

Phone

(423) 979-3494

Fax

(423) 979-3428

NPI assigned

Oct 23, 2006

Sex

Male

Sole proprietor

No

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679656987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 LONGVIEW DR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376043808",
            "telephone_number": "423-979-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JAMES H. QUILLEN/VAMC",
            "address_2": "CORNER OF SIDNEY AND LAMONT",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "37684",
            "telephone_number": "423-979-3494",
            "fax_number": "423-979-3428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFFINES",
        "first_name": "RANDY",
        "middle_name": "FORD",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS0000004242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry David Hudson, MD
• Huedo Diagnostics DME, LLC
• Huedo Diagnostics, Inc.
• Theresa Marie Huff, P.T.
• Roland Keith Huffaker, M. D.
• Chasity A Huffman, RN
• Jennifer Beth Huffman, FNP
• Jessica Danielle Huffman, PHARMD
• Brandon Lee Huggins, PA
• Cherish Hughes, PHARMD

• General Practice Dentistry in Johnson City, TN
• Providers in Johnson City, TN by specialty
• General Practice Dentistry in Tennessee

• 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.