NPIMap

Organization Active NPI

Dr. Randall T. Boggs

  • Dentist
  • Toledo, OH
National Provider Identifier
1962896779
Registry record updated Mar 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
15815 Issued in OH
Legal business name
DR. RANDALL T. BOGGS
Practice address
3416 W Laskey Rd
Toledo, OH 43623-4015
Phone
(419) 473-8885
Fax
(419) 473-9995
NPI assigned
Mar 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2015

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

Authorized official

Name
Ms. Pamela Jane Teet
Title
Office Manager
Phone
(419) 473-8885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 15815 OH Primary

Addresses

Primary practice location

3416 W Laskey Rd
Toledo, OH 43623-4015

Mailing address

3416 W Laskey Rd
Toledo, OH 43623-4015
Phone (419) 473-8885

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1962896779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3416 W LASKEY RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234015",
            "telephone_number": "419-473-8885",
            "fax_number": "419-473-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3416 W LASKEY RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234015",
            "telephone_number": "419-473-8885",
            "fax_number": "419-473-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. RANDALL T. BOGGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-19",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "TEET",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "419-473-8885",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "15815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; 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.