Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104165323 Individual Practitioner Male Practitioner

Dr. Gary Cagan Randall , DC

Chiropractor • Grand Prairie, TX

Professional Overview & Biography Verified Profile Summary

Dr. Gary Randall, DC is a registered healthcare professional specializing in Chiropractor in Grand Prairie, TX. Practice services are available at 4560 LAKE RIDGE PKWY STE 200 under active NPI credentials.

Frequently performed procedures and clinical services include chiropractic manipulative treatment, 3-4 spinal regions. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4560 Lake Ridge Pkwy Ste 200

Grand Prairie, TX 750521706

Telephone 8004046050
Fax 8663133397
Associated Practice Facility / Clinic
🏢 Airrosti Center, Inc. Facility NPI 1902088594

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Grand Prairie, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.7 Yrs
State Avg: 22.3 Yrs
Regional Practice Density
29 Specialists

Practicing in Grand Prairie, TX (7266 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
27.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98941 Chiropractic manipulative treatment, 3-4 spinal regions
235 27 $55.00 $39.83

Medical Specialties & State Licenses

CMS Verified: 2026-02-20
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License TX 12225

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Chiropractic License
12225 (TX)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003096975

Doctor of Chiropractic

NPI 1003594797

Doctor of Chiropractic

Dr. Jacob Jackson , DPT

Physical Therapist

NPI 1003673369

Doctor of Physical Therapy

NPI 1013222942

Doctor of Chiropractic

NPI 1013629690

Doctor of Chiropractic

Dr. Daniel Nepsund , PT, DPT, ATC, LAT

Specialist/Technologist - Athletic Trainer

NPI 1023520608

Physical Therapist, Doctor of Physical Therapy, Certified Athletic Trainer, Licensed Athletic Trainer

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2026

Chiropractor (License #12225 in TX)

📍
Updated Practice Location September 11, 2023

Registered at 4560 LAKE RIDGE PKWY STE 200, GRAND PRAIRIE, TX 750521706 (Tel: 8004046050)

📍
Updated Practice Location August 04, 2023

Registered at 505 HERITAGE AVE, SUITE 150, COLLEYVILLE, TX 76034 (Tel: 8004046050)

📍
Updated Business Mailing Address August 04, 2023

Registered at PO BOX 700688, SAN ANTONIO, TX 782700688 (Tel: 2103183007)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2023

Chiropractor (License #12225 in TX)

📍
Updated Business Mailing Address March 28, 2019

Registered at 100 W SOUTHLAKE BLVD, STE 410, SOUTHLAKE, TX 760926166 (Tel: 8173106604)

📍
Updated Practice Location November 29, 2018

Registered at 100 W SOUTHLAKE BLVD STE 410, SOUTHLAKE, TX 760926166 (Tel: 6828883837)

NPI Profile Active February 07, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location February 07, 2013

Registered at 306 AIRLINE DR, SUITE 100, COPPELL, TX 750194618 (Tel: 6828883837)

📍
Updated Business Mailing Address February 07, 2013

Registered at 7925 CHADDINGTON DR, NORTH RICHLAND HILLS, TX 761826727 (Tel: 6828883837)

👤
Provider Name / Credentials Updated February 07, 2013

Recorded as GARY RANDALL, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2013

Chiropractor (License #12225 in TX)

🟢
Initial NPI Registration & Enumeration February 07, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104165323
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 07, 2013
Last Update: February 20, 2026
Sole Proprietor: No

Mailing Address

Po Box 700688

San Antonio, TX 782700688

Phone: 2103183007

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.