Active NPI
Timothy C. Randall, DDS
- General Practice Dentistry
- Laguna Hills, CA
National Provider Identifier
1821204785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DY034891
- Practice address
- 25251 Paseo de Alicia Ste 200
Laguna Hills, CA 92653 - Phone
- (949) 348-7660
- Fax
- (949) 340-8049
- NPI assigned
- May 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DY034891 | CA | Primary |
Addresses
Primary practice location
25251 Paseo de Alicia Ste 200
Laguna Hills, CA 92653
Mailing address
25251 Paseo de Alicia Ste 200
Laguna Hills, CA 92653-4616
Phone (949) 748-4949
Other practice location 1
26932 Oso Pkwy Ste 280
Mission Viejo, CA 92691-5815
Phone (949) 348-7660
Other practice location 2
24953 Paseo De Valencia Ste 6C
Laguna Hills, CA 92653-4337
Phone (949) 348-7660
Other practice location 3
25251 Paseo De Alicia Ste 200
Laguna Hills, CA 92653
Phone (949) 348-7660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DY034891 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571270400000",
"number": "1821204785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25251 PASEO DE ALICIA STE 200",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926534616",
"telephone_number": "949-748-4949",
"fax_number": "949-340-8049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25251 PASEO DE ALICIA STE 200",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "92653",
"telephone_number": "949-348-7660",
"fax_number": "949-340-8049"
}
],
"practiceLocations": [
{
"address_1": "26932 Oso Pkwy Ste 280",
"address_purpose": "LOCATION",
"city": "Mission Viejo",
"state": "CA",
"postal_code": "926915815",
"country_code": "US",
"telephone_number": "949-348-7660",
"fax_number": "949-215-7616",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "24953 Paseo De Valencia Ste 6C",
"address_purpose": "LOCATION",
"city": "Laguna Hills",
"state": "CA",
"postal_code": "926534337",
"country_code": "US",
"telephone_number": "949-348-7660",
"fax_number": "949-340-8049",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "25251 Paseo De Alicia Ste 200",
"address_purpose": "LOCATION",
"city": "Laguna Hills",
"state": "CA",
"postal_code": "92653",
"country_code": "US",
"telephone_number": "949-348-7660",
"fax_number": "949-340-8049",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RANDALL",
"first_name": "TIMOTHY",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-15",
"last_updated": "2019-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "DY034891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.