RANDALL J BLAZIC DDS MD
NPI 1497843445
Dentist - Oral and Maxillofacial Surgery in Goodyear, AZ

Q: What is Randall Blazic's NPI number?

The NPI number for Randall Blazic is 1497843445. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Q: What is Randall Blazic's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: Is Randall Blazic enrolled in Medicare?

No. Randall Blazic has opted out of Medicare through February 15, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Randall Blazic was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since October 11, 2006Opted out of Medicare · through Feb 15, 2028

13980 W AVALON DR STE 120, GOODYEAR, AZ 85395(623) 935-5774(623) 935-6524 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Randall J Blazic Dds Md NPPES

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

RANDALL J BLAZIC DDS MD (NPI 1497843445) is an individual oral and maxillofacial surgery provider in Goodyear, Arizona, licensed in Arizona (D5976) and active in the NPI registry since October 2006. He has opted out of Medicare through February 15, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1497843445

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameRANDALL J BLAZICCredential: DDS MD

Location Address13980 W AVALON DR STE 120Goodyear, AZ 85395-1404

Mailing Address13980 W Avalon Dr Ste 120Goodyear, AZ 85395-1404 · (623) 935-5774 · Fax (623) 935-6524

Phone(623) 935-5774

Fax(623) 935-6524

Sole ProprietorNo

Enumeration DateOctober 11, 2006

Last NPPES UpdateApril 22, 2025

NPPES CertifiedApril 22, 2025

✔ NPI 1497843445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in AZ · D5976

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X · License M31657 (AZ)

13980 W AVALON DR STE 120, Goodyear, AZ 85395

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Arizona, Florida Combined Life.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Randall J Blazic Dds Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 15, 2016 through February 15, 2028.

Opt-Out Effective DateFebruary 15, 2016

Opt-Out In Effect ThroughFebruary 15, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85395 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Randall Blazic's NPI number?

The NPI number for Randall Blazic is 1497843445. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Randall Blazic located?

Randall Blazic practices at 13980 W Avalon Dr Ste 120, Goodyear, AZ 85395. The listed phone number is (623) 935-5774.

What is Randall Blazic's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Randall Blazic enrolled in Medicare?

No. Randall Blazic has opted out of Medicare through February 15, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Randall Blazic accept?

Health plans from Delta Dental of Arizona and Florida Combined Life list Randall Blazic 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 Randall Blazic was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.