What is Gary Randall's NPI number?

Gary Randall's National Provider Identifier (NPI) is 1104165323, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Gary Randall's specialty?

Gary Randall is listed in the NPPES registry with a primary specialty of Chiropractor (Chiropractic Providers).

Where is Gary Randall located?

Gary Randall's practice location on file with NPPES is 4560 Lake Ridge Pkwy Ste 200, Grand Prairie, TX 75052-1706.

What is Gary Randall's phone number?

The practice phone number listed in the NPPES registry for Gary Randall is (800) 404-6050.

Does Gary Randall accept Medicare?

Gary Randall is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.

Is Gary Randall's NPI active?

Yes — Gary Randall's NPI (1104165323) is active in the NPPES registry as of the last update on 2026-02-20.

IndividualActiveAccepts Medicare

Gary Randall, D.C.

NPI 1104165323 · Chiropractor · Grand Prairie, TX

Gary Randall, D.C. is a Chiropractor provider in Grand Prairie, TX (NPI 1104165323).

Provider details

NPI number: 1104165323
Entity type: Individual
Primary specialty: ChiropractorChiropractic Providers
Credential: D.C.
Sex: Male
Sole proprietor: No
License: 12225 (TX)

Practice location

4560 Lake Ridge Pkwy Ste 200

Grand Prairie, TX 75052-1706

Phone: (800) 404-6050

Fax: (866) 313-3397

Approximate (ZIP-level) locationGet directions

More TX providers

Mailing address

Po Box 700688

San Antonio, TX 78270-0688

Specialties & taxonomies

ChiropractorPrimary111N00000XLicense 12225 (TX)
Chiropractic Providers

Enrolled with Medicare as Practitioner - Chiropractic · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Profile Score

Detailed profile(79/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
13 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2013-02-07
Last updated: 2026-02-20
Certified: 2026-02-20

Frequently asked questions

What is Gary Randall's NPI number?: Gary Randall's National Provider Identifier (NPI) is 1104165323, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Gary Randall's specialty?: Gary Randall is listed in the NPPES registry with a primary specialty of Chiropractor (Chiropractic Providers).
Where is Gary Randall located?: Gary Randall's practice location on file with NPPES is 4560 Lake Ridge Pkwy Ste 200, Grand Prairie, TX 75052-1706.
What is Gary Randall's phone number?: The practice phone number listed in the NPPES registry for Gary Randall is (800) 404-6050.
Does Gary Randall accept Medicare?: Gary Randall is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
Is Gary Randall's NPI active?: Yes — Gary Randall's NPI (1104165323) is active in the NPPES registry as of the last update on 2026-02-20.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions