Active NPI
R. Randall Haskins, DDS, MAGD
- General Practice Dentistry
- Claremore, OK
National Provider Identifier
1942292859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4930
- Practice address
- 1495 W Blue Starr Dr
Claremore, OK 74017-2404 - Phone
- (918) 341-4844
- Fax
- (918) 341-4852
- NPI assigned
- Aug 17, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 | 4930 | OK | Primary |
Addresses
Primary practice location
1495 W Blue Starr Dr
Claremore, OK 74017-2404
Mailing address
1495 W Blue Starr Dr
Claremore, OK 74017-2404
Phone (918) 341-4844
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942292859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1495 W BLUE STARR DR",
"city": "CLAREMORE",
"state": "OK",
"postal_code": "740172404",
"telephone_number": "918-341-4844",
"fax_number": "918-341-4852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1495 W BLUE STARR DR",
"city": "CLAREMORE",
"state": "OK",
"postal_code": "740172404",
"telephone_number": "918-341-4844",
"fax_number": "918-341-4852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASKINS",
"first_name": "R.",
"middle_name": "RANDALL",
"name_prefix": "Dr.",
"credential": "DDS, MAGD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "4930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Claremore, OK
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.