Individual provider Active NPI

Randy L Agnew, DDS

  • Dentist
  • Chino Hills, CA
National Provider Identifier
1922120344
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
55132 Issued in CA
Practice address
3110 Chino Ave Ste 260
Chino Hills, CA 91709-1211
Phone
(909) 364-8282
NPI assigned
Apr 5, 2007
Last updated
Mar 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 55132 CA Primary

Addresses

Primary practice location

3110 Chino Ave Ste 260
Chino Hills, CA 91709-1211

Mailing address

3110 Chino Ave Ste 260
Chino Hills, CA 91709-1211
Phone (909) 364-8282

Other practice location 1

5475 E La Palma Ave Ste 110
Anaheim, CA 92807-2002
Phone (714) 779-8100

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

Practice roles

OrganizationSpecialtyStatusNew patients
Buehler and Reagan Dental Corporation Past Accepting new patients
Chino Hills Dentistry Dentist PastSince Mar 20, 2025 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.

NPI Registry JSON

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

{
    "created_epoch": "1175731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1922120344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 CHINO AVE STE 260",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917091211",
            "telephone_number": "909-364-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 CHINO AVE STE 260",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917091211",
            "telephone_number": "909-364-8282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5475 E La Palma Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928072002",
            "country_code": "US",
            "telephone_number": "714-779-8100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGNEW",
        "first_name": "RANDY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-05",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "55132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.