Randolph P Platt DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2706 Issued in AZ

Legal business name

RANDOLPH P PLATT DDS, PC

Doing business as

Platt Comprehensive Dentistry

Practice address

100 North 13TH West
St. Johns, AZ 85936

Phone

(928) 337-2522

Fax

(928) 337-4881

NPI assigned

Apr 23, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Randolph Patteson Platt, D.D.S.

Title

President-Owner

Phone

(928) 337-2522

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Platt Comprehensive Dentistry Doing business as

Practitioners 1

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

• Joseph Donovan Tenney, D.D.S.

  • Dentist
  • Saint Johns, AZ
  • NPI 1063604965

  General Practice

  NPD (past)

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1811254246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 930",
            "city": "ST. JOHNS",
            "state": "AZ",
            "postal_code": "859360930",
            "telephone_number": "928-337-2522",
            "fax_number": "928-337-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NORTH 13TH WEST",
            "city": "ST. JOHNS",
            "state": "AZ",
            "postal_code": "85936",
            "telephone_number": "928-337-2522",
            "fax_number": "928-337-4881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDOLPH P PLATT DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-23",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "PLATT",
        "authorized_official_first_name": "RANDOLPH",
        "authorized_official_middle_name": "PATTESON",
        "authorized_official_title_or_position": "PRESIDENT-OWNER",
        "authorized_official_telephone_number": "928-337-2522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "2706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE AHCCCS PROGRAM",
            "identifier": "081282-001",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Platt Comprehensive Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in St. Johns, AZ
• Providers in St. Johns, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.