WILD WEST ORTHODONTICS INC. (NPI# 1164761383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164761383 |
| Entity Type | Organization |
| Organization Name | WILD WEST ORTHODONTICS INC. |
| Practice Address |
14122 W Mcdowell Rd Ste 200 Goodyear AZ 85395-2505 |
| Practice Telephone | 6235362040 |
| Practice Fax Number | 6235368555 |
| Mailing Telephone | 6235362040 |
| Mailing Fax Number | 6235368555 |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2013-02-07 |
| Authorized Official Name | DR. GEORGE AYOUB (OWNER/DOCTOR) |
| Authorized Official Telephone | 6235362040 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
0008582 | AZ | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | TYPE 1 NPI | 1215184528 | 01 |
| Street Address |
14122 W MCDOWELL RD STE 200 |
| City | GOODYEAR |
| State | AZ |
| Zip Code | 85395-2505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093996845 | Joseph He Chang | Dentist | 14122 W Mcdowell Rd Ste 200, Goodyear, AZ 85395-2505 | 2007-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154962439 | Amber Dawn Gutierrez | Registered Nurse | 15430 W. Turney Avenue, Goodyear, AZ 85395 | 2019-10-08 |
| 1851947865 | Az Care Partners Home Care, LLC | Chore Provider | 14122 W. Mcdowell Rd., Suite 102a, Goodyear, AZ 85395 | 2019-08-15 |
| 1407334329 | Hana M Eichele | Occupational Therapist | 13385 W Mcdowell Road, Goodyear, AZ 85395 | 2018-08-02 |
| 1639662406 | Kristen Henderson | Occupational Therapist | 14577 W Indian School Road, Goodyear, AZ 85395 | 2018-06-07 |
| 1114419389 | Eric Seabaugh | Specialist/Technologist | 13385 W. Mcdowell Rd., Goodyear, AZ 85395 | 2018-06-04 |
| 1912497504 | Goodyear Modern Dentistry, LLP | Dentist | 15260 West Mcdowell Rd, Goodyear, AZ 85395 | 2018-05-18 |
| 1225531551 | Erik Jason Martinez | Registered Nurse | 4565 N 153rd Ln, Goodyear, AZ 85395 | 2018-03-13 |
| 1538677042 | Kacie Bartlett | Speech-Language Pathologist | 14557 W Mcdowel Rd, Suiet 500, Goodyear, AZ 85395 | 2018-01-18 |
| 1942717277 | Deeann Guymon | Specialist/Technologist | 13385 W. Mcdowell Road, Goodyear, AZ 85395 | 2018-01-09 |
| 1023520228 | Kathy Lynn Gorchesky | Registered Nurse | 15430 West Turney Avenue, Goodyear, AZ 85395 | 2017-10-27 |
| Find all providers in zip 85395 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053700971 | Adam Armstrong | Dentist | 13524 W Alvarado Dr, Goodyear, AZ 85395-2415 | 2015-01-15 |
| 1386065985 | Daniel Cloward | Dentist | 530 N Estrella Pkwy Ste C2, Goodyear, AZ 85338-4138 | 2013-12-27 |
| 1376780973 | Jesse Robert Mcguire Jr. | Dentist | 1981 N Pebble Creek Pkwy Ste C01, Goodyear, AZ 85395-2543 | 2009-01-20 |
| 1033643929 | Prosmiles Orthodontics, Pllc | Dentist | 1981 N Pebble Creek Pkwy, C01, Goodyear, AZ 85395-2543 | 2017-04-18 |
| 1649629361 | Wild West Orthodontics P.c | Dentist | 14122 W Mcdowell Rd, 200, Goodyear, AZ 85395-2503 | 2016-06-03 |
| 1871774372 | Michael Jay Hilgers | Dentist | 1646 N Litchfield Rd, Suite #210, Goodyear, AZ 85395-1203 | 2007-11-26 |
| 1255540746 | Troy L Christensen | Dentist | 530 N Estrella Pkwy, Sutie C-2, Goodyear, AZ 85338-4137 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315939 | Smile Straight Orthodontics-yuma Pllc | Dentist | 2283 W 24th Street, Suite 120, Yuma, AZ 85364 | 2020-10-29 |
| 1467061119 | Grinz Nw Plc | Dentist | 7488 N La Cholla Blvd, Tucson, AZ 85741-2306 | 2020-07-29 |
| 1003447731 | Michael Mclaughlin Dds PC | Dentist | 940 N Switzer Canyon Dr Ste 201, Flagstaff, AZ 86001-4852 | 2020-01-31 |
| 1669003422 | Suchita Mandair | Dentist | 8381 E Overlook Dr, Scottsdale, AZ 85255-6483 | 2020-01-30 |
| 1104475300 | Cordon Orthodontic Center Pllc | Dentist | 30012 N Cave Creek Rd Ste 102, Cave Creek, AZ 85331-5833 | 2019-09-10 |
| 1033776455 | Premier Orthodontic Specialists Pllc | Dentist | 3230 S. Gilbert Rd. Ste. 1, Chandler, AZ 85286 | 2019-05-21 |
| 1720641228 | D'avanzo Arizona, Pllc | Dentist | 7001 N Scottsdale Rd, Scottsdale, AZ 85253-3658 | 2019-04-19 |
| 1558924415 | Ahwatukee Orthodontic Associates Inc | Dentist | 16611 S. 40th Street, Suite 110, Phoenix, AZ 85048 | 2019-04-17 |
| 1871066498 | Elite On Bell | Dentist | 15331 W Bell Rd Ste 210, Surprise, AZ 85374-4104 | 2019-01-07 |
| 1134691629 | Hunter Orthodontics Pllc | Dentist | 6525 W Sack Dr Ste 101, Glendale, AZ 85308-7106 | 2018-12-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.