Randall L Weisel, DDS, PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN0010195 Issued in FL

Legal business name

RANDALL L WEISEL, DDS, PA

Practice address

3700 E Bay Dr
Largo, FL 33771-1935

Phone

(727) 536-5787

Fax

(727) 530-9630

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Randall L Weisel, DDS

Title

President

Phone

(727) 536-5787

Specialties & licenses 1

Addresses

Other identifiers 6

Locations

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871677708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 E BAY DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337711935",
            "telephone_number": "727-536-5787",
            "fax_number": "727-530-9630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 E BAY DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337711935",
            "telephone_number": "727-536-5787",
            "fax_number": "727-530-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL L WEISEL, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEISEL",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-536-5787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN0010195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FORTIS",
            "identifier": "15140",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "60453",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAFEGUARD",
            "identifier": "9676",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPBENEFITS",
            "identifier": "4010",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "604999",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "215754",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Srinivas Rajendran, D.O.
• Carmelo Ramirez III, D.C.
• Mariah Ramirez
• Hannah J Rampersad
• Alina Nisha Ramsey, PA-C
• Gerald Lee Randall, D.O.
• Ranjan Mahajan MD
• Ranjan Mahajan, MD PLC
• Priyadarshini Gopinath Rao, D.O.
• Carla Rasnick, LMHC

• Dental Clinic/Center in Largo, FL
• Providers in Largo, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.