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DR. GARY CAGAN RANDALL D.C.
NPI 1104165323
Chiropractor in Grand Prairie, TX

Active since February 07, 2013
4560 LAKE RIDGE PKWY STE 200, GRAND PRAIRIE, TX 75052(800) 404-6050(866) 313-3397 Get Directions Write a Review

NPPES record last updated: February 20, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 28, 2023, Nov 29, 2018 (2 updates tracked since 2018).

About Dr. Gary Cagan Randall D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GARY CAGAN RANDALL D.C. (NPI 1104165323) is an individual chiropractor in Grand Prairie, Texas, licensed in Texas (12225) and active in the NPI registry since February 2013.

NPPES Registry Identity

NPI1104165323
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. GARY CAGAN RANDALLCredential: D.C.
Location Address4560 LAKE RIDGE PKWY STE 200Grand Prairie, TX 75052-1706
Mailing AddressPo Box 700688San Antonio, TX 78270-0688 · (210) 318-3007 · Fax (210) 468-0682
Phone(800) 404-6050
Fax(866) 313-3397
Sole ProprietorNo
Enumeration DateFebruary 7, 2013
Last NPPES UpdateFebruary 20, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2026
✔ NPI 1104165323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in TX · 12225
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
4560 LAKE RIDGE PKWY STE 200, Grand Prairie, TX 75052
Open in Google Maps ↗

Other Identifiers 1

Other12225TX · Chiropractic License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gary Cagan Randall D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Gary Randall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Airrosti Rehab Centers, LLC
229 mi
Rehabilitation
111 TOWER DR BLDG 1
San Antonio, TX 78232
  • Reassigned Medicare billing, Texas enrollment
  • 237 clinicians in this Medicare group
NPI 1497989479 (800) 404-6050

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JACOB C HAMBLEN DC
Chiropractor
4560 LAKE RIDGE PKWY STE 200
GRAND PRAIRIE, TX 75052
Dallas County (800) 404-6050
CATHERINE D RILEY MD
Family Medicine
4560 LAKE RIDGE PKWY STE 200
GRAND PRAIRIE, TX 75052
Dallas County (972) 263-5272
ANDRIANA LOVE ALEXANDER MD
Family Medicine
4560 LAKE RIDGE PKWY STE 200
GRAND PRAIRIE, TX 75052
Dallas County (972) 263-5272

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary Randall's NPI number?

The NPI number for Gary Randall is 1104165323. It was assigned to this individual provider in the NPPES registry on February 7, 2013.

Where is Gary Randall located?

Gary Randall practices at 4560 Lake Ridge Pkwy Ste 200, Grand Prairie, TX 75052. The listed phone number is (800) 404-6050.

What is Gary Randall's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Gary Randall enrolled in Medicare?

Yes. Gary Randall is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gary Randall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gary Randall reassigns Medicare benefits to Airrosti Rehab Centers, LLC (San Antonio, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gary Randall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gary Randall accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Gary Randall as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gary Randall was last updated on February 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.