Individual provider Active NPI

Randle T Carr, D.D.S.

  • General Practice Dentistry
  • Anacortes, WA
National Provider Identifier
1962720953
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8137 Issued in WA
Practice address
8212 S March Point Rd
Anacortes, WA 98221-8684
Phone
(360) 588-2800
NPI assigned
May 14, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8137 WA Primary

Addresses

Primary practice location

8212 S March Point Rd
Anacortes, WA 98221-8684

Mailing address

8212 S March Point Rd
Anacortes, WA 98221-8684
Phone (360) 588-2800

Other practice location 1

20 SE 8th Ave
Oak Harbor, WA 98277-5314
Phone (360) 240-0800

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

State licenses

LicenseStateTypeSpecialty
8137WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Swinomish Health Services CurrentSince Nov 6, 2022 Accepting new patients
Swinomish Health Services CurrentSince Nov 6, 2022 Accepting new patients

Locations

8212 S March Point Rd
Anacortes, WA 98221
Phone (360) 588-2800

Interoperability endpoints

  • Direct secure messaging: randle.carr.1@19043.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1273795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1962720953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8212 S MARCH POINT RD",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982218684",
            "telephone_number": "360-588-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8212 S MARCH POINT RD",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982218684",
            "telephone_number": "360-588-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 SE 8th Ave",
            "address_purpose": "LOCATION",
            "city": "Oak Harbor",
            "state": "WA",
            "postal_code": "982775314",
            "country_code": "US",
            "telephone_number": "360-240-0800",
            "fax_number": "360-734-0855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARR",
        "first_name": "RANDLE",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-14",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "8137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anacortes, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.