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DR. RANDALL J MCDANIEL DMD
NPI 1518063874
Dentist - Oral and Maxillofacial Pathology in Wauwatosa, WI

Active since September 15, 2006PECOS Enrolled
2626 N 76TH ST, WAUWATOSA, WI 53213(414) 476-9400 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Randall J Mcdaniel Dmd NPPES

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

DR. RANDALL J MCDANIEL DMD (NPI 1518063874) is an individual oral and maxillofacial pathology provider in Wauwatosa, Wisconsin, licensed in Wisconsin (5934-015) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518063874
Entity TypeIndividualMale
Primary Taxonomy1223P0106X
Provider Legal NameDR. RANDALL J MCDANIELCredential: DMD
Location Address2626 N 76TH STWauwatosa, WI 53213
Mailing Address2626 N 76th StWauwatosa, WI 53213 · (414) 476-9400
Phone(414) 476-9400
Sole ProprietorNo
Enumeration DateSeptember 15, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1518063874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial PathologyDental Providers
Taxonomy Code1223P0106X
License✔ Licensed in WI · 5934-015
Definition
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
2626 N 76TH ST, Wauwatosa, WI 53213
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Other Identifiers 1

Medicare UPINV08250

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Randall J Mcdaniel Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53213 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

Other Providers at the Same Location NPPES 20

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

JAY L. MACKMAN, DDS
Dentist (General Practice)
2626 N 76TH ST
WAUWATOSA, WI 53213
Milwaukee County (414) 476-9400
MS. KATHY LOUISE SHEBESTA PT
Physical Therapist
2626 N 76TH ST, SUITE 105
WAUWATOSA, WI 53213
Milwaukee County (414) 774-7794
MARLON WILLIAMS
Physical Therapy Assistant
2626 N 76TH ST
WAUWATOSA, WI 53213
Milwaukee County (414) 774-7794
INGRID L BARBER
Physical Therapy Assistant
2626 N 76TH ST
WAUWATOSA, WI 53213
Milwaukee County (414) 774-7794
AFFILIATED HEALTH OF WISCONSIN LTD.
Physical Medicine & Rehabilitation (Pain Medicine)
2626 N 76TH ST, SUITE 105
WAUWATOSA, WI 53213
Milwaukee County (414) 774-7794
ROBERT WALKER MIER D.D.S.
Dentist (Oral and Maxillofacial Pathology)
2626 N 76TH ST, SUITE 105
WAUWATOSA, WI 53213
Milwaukee County (414) 476-9400
GINA CIFALDI M.S., R.T.(R)
Radiologic Technologist
2626 N 76TH ST
WAUWATOSA, WI 53213
Milwaukee County (414) 771-9171
DR. DANIEL E TACHE D.M.D.,F.A.G.D.
Dentist
2626 N 76TH ST
WAUWATOSA, WI 53213
Milwaukee County (414) 476-9400

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 Mcdaniel's NPI number?

The NPI number for Randall Mcdaniel is 1518063874. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Randall Mcdaniel located?

Randall Mcdaniel practices at 2626 N 76th St, Wauwatosa, WI 53213. The listed phone number is (414) 476-9400.

What is Randall Mcdaniel's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

Is Randall Mcdaniel enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Randall Mcdaniel was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.