Active NPI
Randall Nunley, D.D.S.
- General Practice Dentistry
- Phoenix, AZ
National Provider Identifier
1871618165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4234
- Practice address
- 4726 E Thomas Rd
Phoenix, AZ 85018-7712 - Phone
- (602) 840-2330
- Fax
- (602) 840-2379
- NPI assigned
- Mar 19, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 4234 | AZ | Primary |
Addresses
Primary practice location
4726 E Thomas Rd
Phoenix, AZ 85018-7712
Mailing address
2843 N 88TH PL
Mesa, AZ 85207-1463
Phone (480) 220-2642
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4234 | AZ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiaki Management, LLC | General Practice | Past | Accepting new patients |
| Nobuaki Management | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba All Smiles Dental Care
- General Practice Dentistry
- Phoenix, AZ
- NPI 1265556104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871618165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2843 N 88TH PL",
"city": "MESA",
"state": "AZ",
"postal_code": "852071463",
"telephone_number": "480-220-2642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4726 E THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850187712",
"telephone_number": "602-840-2330",
"fax_number": "602-840-2379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUNLEY",
"first_name": "RANDALL",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "4234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
- Diane E Nunez, DNP, RN, ANP-BC
- Dominick Anthony Manuel Nunez
- Kassandra Nunez, PA-C
- Suzanne Nunez
- Regina Louise Nunley-Smith, PHARM D
- Deotis J Nunn, MBA
- Tiffany A Nunnelley, DO
- Jacquline Nunner, PHARMD
- Nuphase Health Services, LLC (NuPhase Health Services-Community BH)
- Nuphase Health Services, LLC (NuPhase Health Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.