RANDY L BALL PLLC (NPI# 1679099246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679099246 |
| Entity Type | Organization |
| Organization Name | RANDY L BALL PLLC |
| Other Organization Name | SAMMAMISH ENDODONTICS |
| Practice Address |
336 228th Ave Ne Ste 201 Sammamish WA 98074-7290 |
| Mailing Address |
832 Lancaster Way Se Sammamish WA 98075-7176 |
| Practice Telephone | 4256570538 |
| Practice Fax Number | 4256570772 |
| Mailing Telephone | 4252817898 |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2017-08-16 |
| Authorized Official Name | DR. RANDY L BALL (MEMBER) |
| Authorized Official Telephone | 4252817898 |
| Authorized Official Credential | DMD, MSD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
DE60539741 | WA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Sammamish Endodontics | Doing Business As Name - Organization |
| Street Address |
336 228TH AVE NE STE 201 |
| City | SAMMAMISH |
| State | WA |
| Zip Code | 98074-7290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700435807 | Jenna Crutsinger | Family Medicine | 22850 Ne 8th Street Ste 103, Sammamish, WA 98074 | 2019-09-10 |
| 1699212456 | Washington Dental Corporation, PC | Dentist | 22640 Se 4th Street, Suite 212, Sammamish, WA 98074 | 2017-01-31 |
| 1457802886 | Nazarena Deschiave | Interpreter | 906 207th Pl Ne, Sammamish, WA 98074 | 2016-10-20 |
| 1649578600 | Christopher Bao Brown | Dentist | 22620 Se 4th St Ste 150, Sammamish, WA 98074 | 2011-03-01 |
| 1942522834 | Tinsy K George | Pharmacist | 526 228th Ave Ne, Bartell Drugs, Sammamish, WA 98074 | 2010-02-19 |
| 1285855858 | Helga S Ding | Dentist | 21325 Se 3rd Street, Sammamish, WA 98074 | 2007-05-01 |
| 1316079684 | Sabiha Tyab Haider | Occupational Therapist | 2325 237th Pl Ne, Sammamish, WA 98074 | 2007-03-12 |
| 1053477976 | Rhonda Newton Dds | Dentist | 707 228th Ave Ne, Sammamish, WA 98074 | 2006-12-28 |
| 1699849331 | Pediatric Associates, Inc., P.s. Dba Allegro Pediatrics | Pediatrics | 22620 Se 4th Street, Suite #200, Sammamish, WA 98074 | 2006-11-17 |
| 1578662011 | Michael Allan Macinnes | Dentist | 336 228th Ave Ne, Suite 200, Sammamish, WA 98074 | 2006-09-21 |
| Find all providers in zip 98074 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801403936 | Olsson & Niazi Pllc | Dentist | 3212 Nw Byron St Ste 108, Silverdale, WA 98383-9154 | 2020-09-23 |
| 1003432709 | Ralph Donald Hawkins | Dentist | 14921 182nd Ave E, Bonney Lake, WA 98391-8240 | 2020-06-18 |
| 1326695438 | M Shoaib Haider Siddiqui | Dentist | Issaquah Modern Dentistry, 1416 Highlands Drie Ne, Suite 120, Issaquah, WA 98029 | 2019-08-22 |
| 1558854844 | Hintz, Olaru, & Penberthy, Dds, Pllc | Dentist | 823 W 7th Ave Ste 202, Spokane, WA 99204-2850 | 2018-06-11 |
| 1316447758 | 3d Endodontics | Dentist | 451 Duvall Ave Ne Ste 120, Renton, WA 98059-4675 | 2018-02-12 |
| 1780101113 | Elena Andronova | Dentist | 1200 116th Ave Ne Ste G1, Bellevue, WA 98004-3802 | 2017-08-25 |
| 1104348739 | Roshanak Baghai, Pllc | Dentist | 1340 8th St Ne Ste 102, Auburn, WA 98002-4700 | 2017-07-14 |
| 1699219709 | Tanaya Kumar | Dentist | 4901 Point Fosdick Dr. Nw Street 300, Gig Harbor, WA 98335 | 2016-12-08 |
| 1871042002 | Richard Simcock Dds, Ps | Dentist | 130 S 15th St Suite 101, Mount Vernon, WA 98274 | 2016-09-29 |
| 1316494537 | Dr. Timothy L Sweatman Dds Ps | Dentist | 775 E Holland Ave Ste 202, Spokane, WA 99218-5016 | 2016-09-06 |
| Find all providers with the same taxonomy | ||||
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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.