Organization Active NPI

Randall I. Furman, DDS, PLC

  • General Practice Dentistry
  • Virginia Beach, VA
National Provider Identifier
1689129215
Registry record updated Aug 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401005228 Issued in VA
Legal business name
RANDALL I. FURMAN, DDS, PLC
Practice address
879 Lynnhaven Pkwy
Suite 109
Virginia Beach, VA 23452-7270
Phone
(757) 468-4684
Fax
(757) 689-2615
NPI assigned
Aug 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2016

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

Authorized official

Name
Dr. Randall I Furman, DDSNPI 1629104138
Title
Owner/Dentist
Phone
(757) 468-4684

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 0401005228 VA Primary

Addresses

Primary practice location

879 Lynnhaven Pkwy
Suite 109
Virginia Beach, VA 23452-7270

Mailing address

879 Lynnhaven Pkwy
Suite 109
Virginia Beach, VA 23452-7270
Phone (757) 468-4684

Other identifiers 1

IdentifierTypeStateIssuer
542394MedicaidVA

National Provider Directory

National Provider Directory

Locations

879 Lynnhaven Pkwy
Ste 109
Virginia Beach, VA 23452
Phone (757) 468-4684

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1471996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471996800000",
    "number": "1689129215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "879 LYNNHAVEN PKWY",
            "address_2": "SUITE 109",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527270",
            "telephone_number": "757-468-4684",
            "fax_number": "757-689-2615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "879 LYNNHAVEN PKWY",
            "address_2": "SUITE 109",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527270",
            "telephone_number": "757-468-4684",
            "fax_number": "757-689-2615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL I. FURMAN, DDS, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-24",
        "last_updated": "2016-08-24",
        "status": "A",
        "authorized_official_last_name": "FURMAN",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "757-468-4684",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401005228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "542394",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; 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.