Randall W Halliday DDS Inc

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

22609 Issued in CA

Legal business name

RANDALL W HALLIDAY DDS INC

Practice address

1697 N Waterman Ave
San Bernardino, CA 92404-5112

Phone

(909) 886-6845

Fax

(909) 882-9804

NPI assigned

Aug 12, 2011

Last updated

Aug 12, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Randall W Halliday, DDS

Title

President

Phone

(909) 886-6845

Specialties & licenses 1

Addresses

Tax ID family

Randall W Halliday DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Randall W Halliday DDS, Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Redlands, CA
  • NPI 1699082818
  NPD tax ID

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

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313107200000",
    "number": "1932488681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1697 N WATERMAN AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924045112",
            "telephone_number": "909-886-6845",
            "fax_number": "909-882-9804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1697 N WATERMAN AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924045112",
            "telephone_number": "909-886-6845",
            "fax_number": "909-882-9804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL W HALLIDAY DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-12",
        "last_updated": "2011-08-12",
        "status": "A",
        "authorized_official_last_name": "HALLIDAY",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-886-6845",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "22609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benita Annette Ramsey
• Krunal Rana, PT, DPT
• Naila Sabreena Rana
• Prachi Rana, MD
• Ambika Ranabhat, NP
• Randall W. Halliday, D.D.S., Inc.
• Tehura Randall
• Arnel Randle
• Dina Randle
• Cynthia Randles Duran

• Oral and Maxillofacial Surgery (Dentist) in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; 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.