Dr Randall Eugene Niederkohr, DDS - Dentist in Los Angeles, CA

Dr Randall Eugene Niederkohr, DDS is a Dentist - Pediatric Dentistry based in Los Angeles, California. Dr Randall Eugene Niederkohr is licensed to practice in California (license number 39055) and his current practice location is 321 N Larchmont Blvd, Ste 809, Los Angeles, California. He can be reached at his office (for appointments etc.) via phone at (323) 463-8322.

NPI number for Dr Randall Eugene Niederkohr is 1023118072 and his current mailing address is 321 N Larchmont Blvd, Ste 809, Los Angeles, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1023118072.

Contact Information

Dr Randall Eugene Niederkohr, DDS
321 N Larchmont Blvd, Ste 809,
Los Angeles, CA 90004
(323) 463-8322
(323) 463-0937

Map and Direction




Healthcare Provider's Profile

Full NameDr Randall Eugene Niederkohr
GenderMale
SpecialityDentist - Pediatric Dentistry
Location321 N Larchmont Blvd, Los Angeles, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1023118072
  • Provider Enumeration Date: 09/22/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Randall Eugene Niederkohr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023118072NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0221XDentist - Pediatric Dentistry 39055 (California)Primary
1223P0221XDentist - Pediatric Dentistry 30018784 (Ohio)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Randall Eugene Niederkohr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Randall Eugene Niederkohr, DDS
321 N Larchmont Blvd, Ste 809,
Los Angeles, CA 90004

Ph: (323) 463-8322
Dr Randall Eugene Niederkohr, DDS
321 N Larchmont Blvd, Ste 809,
Los Angeles, CA 90004

Ph: (323) 463-8322

Reviews and Comments


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