DR. JAMES MATTHEW RANDALL (NPI# 1538143003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538143003 |
| Entity Type | Individual |
| Full Name | DR. JAMES MATTHEW RANDALL |
| Credential | D.M.D. |
| Practice Address |
4616 Concord Ave Baton Rouge LA 70808-3123 |
| Mailing Address |
8922 Rue Felicity Ct Baton Rouge LA 70809-2671 |
| Practice Telephone | 2259264640 |
| Practice Fax Number | 2259264660 |
| Mailing Telephone | 2252921880 |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5134 | LA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275528432 | James Randall | Ophthalmology | 1221 N 26th St, Billings, MT 59101-0232 | 2005-09-14 |
| 1316562697 | James Oliver Randall | Counselor | 1412 140th Pl Ne, Bellevue, WA 98007-3915 | 2020-06-11 |
| 1396205498 | James William Randall | Radiology | 251 E Huron St, Chicago, IL 60611-2908 | 2019-03-23 |
| 1598189144 | James Randall | Dentist | 4601 W 109th St, Suite 250, Overland Park, KS 66211-1318 | 2014-02-18 |
| 1144407115 | James Michael Randall Jr. | Internal Medicine | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2008-01-22 |
| 1245431188 | James Randall | Counselor | 550 S Vermont Ave, Los Angeles, CA 90020-1912 | 2007-05-29 |
| 1649484361 | James Kenneth Randall | Nurse Anesthetist, Certified Registered | 2825 Parklawn Dr, Midwest City, OK 73110-4201 | 2007-05-10 |
| Street Address |
4616 CONCORD AVE |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70808-3123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891326146 | College Family Dentistry, LLC | Dentist | 4616 Concord Ave, Baton Rouge, LA 70808-3123 | 2020-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790313161 | Leah Michelle Dlugolecki | Student in an Organized Health Care Education/Training Program | Lsu Psychiatry Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2020-03-31 |
| 1003376302 | Kristina Pham | Student in an Organized Health Care Education/Training Program | 5246 Brittany Drive, 3rd Floor, Baton Rouge, LA 70808 | 2019-03-22 |
| 1083174486 | John Jay Hogan | Student in an Organized Health Care Education/Training Program | Lsu Emergency Medicine Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2019-03-21 |
| 1033682075 | Joseph Bertell Davis Jr. | Case Manager/Care Coordinator | 2460 College Drive, Baton Rouge, LA 70808 | 2019-01-02 |
| 1508340886 | Jennifer Miatech | Student in an Organized Health Care Education/Training Program | 8585 Picardy Ave., Medical Tower 2, Baton Rouge, LA 70808 | 2018-09-21 |
| 1700389137 | Jenee Robins | Case Manager/Care Coordinator | 2100 College Dr Apt 159, Baton Rouge, LA 70808 | 2018-03-12 |
| 1952812893 | Da Vonna Dents | Behavioral Analyst | 418 Stoney Creek Ave, Baton Rouge, LA 70808 | 2017-10-18 |
| 1962925669 | Katharine Elizabeth Blum | Counselor | 7936 Wrenwood Blvd. Ste A, Baton Rouge, LA 70808 | 2017-07-25 |
| 1801316120 | Amie Jackson | Social Worker | 5420 Corporate Blvd. Ste 308, Baton Rouge, LA 70808 | 2017-06-27 |
| 1235660713 | Melissa A Eddy-shelby | Student in an Organized Health Care Education/Training Program | 5000 Hennessy Blvs, Suite 6004, Baton Rouge, LA 70808 | 2017-03-25 |
| Find all providers in zip 70808 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475128 | Exceptional Dental of Coursey, LLC | Dentist | 12045 Coursey Bvld., Baton Rouge, LA 70816 | 2020-10-26 |
| 1508465899 | Exceptional Dental of Highland, LLC | Dentist | 7278 Highland Rd Ste C, Baton Rouge, LA 70808-6604 | 2020-10-19 |
| 1033733746 | Michael P Juban Dds and J Cody Cowen North Apdllc | Dentist | 8670 Airline Highway, Suite A, Baton Rouge, LA 70815 | 2020-05-29 |
| 1659992865 | Justin K Bonaventure Dental Offices, LLC | Dentist | 13702 Coursey Blvd, Bldg 10, Ste C, Baton Rouge, LA 70817-1370 | 2020-04-28 |
| 1639646995 | Michael P Juban Dds and J Cody Cowen North Apdllc | Dentist | 554 Colonial Dr Ste B, Baton Rouge, LA 70806-6552 | 2018-10-25 |
| 1174009633 | Affordable Smiles of Baton Rouge, LLC | Dentist | 1962 Oneal Ln Ste A&b, Baton Rouge, LA 70816-3250 | 2018-07-17 |
| 1154814838 | Hollis Anne Clark | Dentist | 15420 S Harrells Ferry Rd Ste C, Baton Rouge, LA 70816-2933 | 2018-06-07 |
| 1033600804 | Kaitlyn Renee Hawkins | Dentist | 6860 Bluebonnet Blvd, Baton Rouge, LA 70810-1615 | 2018-05-28 |
| 1083136790 | Greesim Loy | Dentist | 13730 Millerville Greens Blvd Ste 1, Baton Rouge, LA 70816-1696 | 2017-07-13 |
| 1346760824 | Michael P Juban Dds and J Cody Cowen North LLC | Dentist | 3557 Monterrey Dr, Baton Rouge, LA 70814-2918 | 2017-06-26 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70808 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.