Organization Active NPI

Karen a. Randall DMD LLC

  • Dental Clinic/Center
  • Tucson, AZ
National Provider Identifier
1790495539
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KAREN A. RANDALL DMD LLC
Practice address
801 N Wilmot Rd Ste A4
Tucson, AZ 85711-1708
Phone
(520) 809-6100
NPI assigned
Dec 2, 2022
Last updated
Dec 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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

Authorized official

Name
Dr. Karen Amanda Randall, DMDNPI 1962922286
Title
Dentist
Phone
(520) 360-3475

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
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

801 N Wilmot Rd Ste A4
Tucson, AZ 85711-1708

Mailing address

10761 E Avenida Hacienda
Tucson, AZ 85748-6857
Phone (520) 360-3475

National Provider Directory

National Provider Directory

Locations

801 N Wilmot Rd
Ste A4
Tucson, AZ 85711
Phone (520) 748-2845

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1669939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669939200000",
    "number": "1790495539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10761 E AVENIDA HACIENDA",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857486857",
            "telephone_number": "520-360-3475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N WILMOT RD STE A4",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857111708",
            "telephone_number": "520-809-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN A. RANDALL DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-02",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "AMANDA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "520-360-3475",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.