Randy Bagay, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

28809 Issued in FL

Practice address

205 Village Commons Dr
Saint Augustine, FL 32092-4544

Phone

(904) 201-1435

NPI assigned

Jul 6, 2020

Last updated

Aug 1, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Comfortable Care Dental Health Professionals, P.a.

  dba Parkway Village Dental Care

  • General Practice Dentistry
  • St Augustine, FL
  • NPI 1861124356
  NPD
• Crosstown Dental Group LLC

  • General Practice Dentistry
  • Memphis, TN
  • NPI 1467068569
  NPD (past)

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1922626019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 VILLAGE COMMONS DR",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320924544",
            "telephone_number": "904-201-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 VILLAGE COMMONS DR",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320924544",
            "telephone_number": "904-201-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGAY",
        "first_name": "RANDY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-06",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "28809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah A. Babcock, CM
• Back in Motion P.a. (Back in Motion Injury and Wellness center)
• Marjorie Dina Bacon, MD
• Logein Badi
• Badri N Mehrotra MD PA
• Bailey Spine & Wellness, LLC
• Erin Nicole Bailey, D.C.
• Jason Arnold Bailey, DC
• Marshall Scott Bailey, D.M.D.
• Lucy Baird

• General Practice Dentistry in St Augustine, FL
• Providers in St Augustine, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.