What is Randolph Lake's NPI number?

Randolph Lake's National Provider Identifier (NPI) is 1528134509, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Randolph Lake's specialty?

Randolph Lake is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).

Where is Randolph Lake located?

Randolph Lake's practice location on file with NPPES is 3200 Ne Sunset Blvd, Renton, WA 98056-3335.

What is Randolph Lake's phone number?

The practice phone number listed in the NPPES registry for Randolph Lake is (425) 228-2555.

Is Randolph Lake's NPI active?

Yes — Randolph Lake's NPI (1528134509) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Randolph Lake, DDS

NPI 1528134509 · General Practice Dentistry · Renton, WA

Randolph Lake, DDS is a General Practice Dentistry provider in Renton, WA (NPI 1528134509).

Provider details

NPI number: 1528134509
Entity type: Individual
Primary specialty: General Practice DentistryDental Providers
Credential: DDS
Sex: Male
Sole proprietor: Yes
License: DE00005282 (WA)

Specialties & taxonomies

General Practice DentistryPrimary1223G0001XLicense DE00005282 (WA)
Dental Providers

Profile Score

Detailed profile(90/100 index)

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

Registry tenure38% of score
19 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.

Practice location

3200 Ne Sunset Blvd

Renton, WA 98056-3335

Phone: (425) 228-2555

Fax: (425) 228-0220

Street-level locationGet directions

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Mailing address