Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. RANDALL B MAYBERRY DDS
NPI 1336134055
Dentist in Klamath Falls, OR

Q: What is Randall Mayberry's NPI number?

The NPI number for Randall Mayberry is 1336134055. It was assigned to this individual provider in the NPPES registry on September 19, 2005.

Q: What is Randall Mayberry's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Randall Mayberry was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.

Active since September 19, 2005

2074 S 6TH ST, KLAMATH FALLS, OR 97601(541) 851-8110(541) 851-8114 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 13, 2026, Mar 7, 2023 (2 updates tracked since 2023).

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About Mr. Randall B Mayberry Dds NPPES

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

MR. RANDALL B MAYBERRY DDS (NPI 1336134055) is an individual dentist in Klamath Falls, Oregon, licensed in Oregon (D8549) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1336134055

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameMR. RANDALL B MAYBERRYCredential: DDS

Location Address2074 S 6TH STKlamath Falls, OR 97601-3372

Mailing Address893 Rosemont CtKlamath Falls, OR 97603-7154

Phone(541) 851-8110

Fax(541) 851-8114

Sole ProprietorNo

Enumeration DateSeptember 19, 2005

Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration

✔ NPI 1336134055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in OR · D8549

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

2074 S 6TH ST, Klamath Falls, OR 97601

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

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