Randall W. Chambers, DDS, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

17046 Issued in MI

Legal business name

RANDALL W. CHAMBERS, DDS, PC

Practice address

6143 28TH St SE
Grand Rapids, MI 49546-6941

Phone

(616) 949-4650

Fax

(616) 949-5377

NPI assigned

Apr 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Randall Wayne Chambers II, DDS

Title

President

Phone

(616) 949-4650

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1801060702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6143 28TH ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466941",
            "telephone_number": "616-949-4650",
            "fax_number": "616-949-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6143 28TH ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466941",
            "telephone_number": "616-949-4650",
            "fax_number": "616-949-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL W. CHAMBERS, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-949-4650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": "17046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1598772972",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jahir Eduardo Ramos, D.O.
• Natalie Azucena Ramos
• Andrew Ravindranath Ramsahoi, M.D.
• Elizabeth Lauren Ranck
• Erika Ranck
• Randall W. Green MD PC
• Allison M Randall, PA-C
• Amber Randall
• Bonnie Jean Elizabeth Randall, P.T.
• Darius Lamont Randall, LMSW

• Dental Clinic/Center in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.