Yvonne Randall, PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

YVONNE RANDALL, PLLC

Doing business as

Fred Ortho
Fred Orthodontics

Practice address

205 W Windcrest St Ste 330
Fredericksburg, TX 78624-4478

Phone

(830) 990-9660

NPI assigned

Jan 25, 2024

Organization subpart

No

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

Authorized official

Name

Ted Weston

Title

Director, Operations

Phone

(512) 922-9619

Specialties & licenses 1

Addresses

Other names 2

• Fred Ortho Doing business as
• Fred Orthodontics Doing business as

Practitioners 1

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

• Alexis Yvonne Tessler, D.D.S., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Kyle, TX
  • NPI 1144499906
  NPD (past)

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

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1780446880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 FM 1626 STE 820",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786406066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W WINDCREST ST STE 330",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786244478",
            "telephone_number": "830-990-9660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YVONNE RANDALL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "WESTON",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "DIRECTOR, OPERATIONS",
        "authorized_official_telephone_number": "512-922-9619"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fred Ortho",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fred Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Women and Children First, PA
• Taylor Works, MD
• Mary C. Wright, R.D., L.D.
• David Young, MD
• Bea Helen-Marie Yousey
• Amber Zenner, PHARMD

• Orthodontics and Dentofacial Orthopedics Dentistry in Fredericksburg, TX
• Providers in Fredericksburg, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.