Randall Karl Freberg, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

3217 Issued in AZ

Practice address

1486 Palm St
San Luis Obispo, CA 93401-2938

Phone

(805) 543-8675

Fax

(805) 543-8696

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gregory P. Thurston DDS, a Professional Corporation

  • General Practice Dentistry
  • San Luis Obispo, CA
  • NPI 1730727884
  NPD (past)
• Ryan McCall, DDS, Inc.

  • Dental Clinic/Center
  • San Luis Obispo, CA
  • NPI 1326893090
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1962514265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1486 PALM ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012938",
            "telephone_number": "805-543-8675",
            "fax_number": "805-543-8696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1486 PALM ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012938",
            "telephone_number": "805-543-8675",
            "fax_number": "805-543-8696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREBERG",
        "first_name": "RANDALL",
        "middle_name": "KARL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "3217",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "033085",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank J Collie MD Medical Corporation
• Claudia Franke
• Cynthia Frase
• Alexis Blair Fraser, MS, LMFT
• Jessica Lynn Frasier, LPT
• Melissa Rose Freebairn
• Heidi M. Freeman, M.D.
• John Alexander Freeman, D.D.S., M.S.D.
• Matthew R Freeman, PT
• Travis Freitas

• Dentist in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.