DR. WILLIAM RANDOL WOMACK (NPI# 1972564326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972564326 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM RANDOL WOMACK |
| Credential | DDS |
| Practice Address |
7505 W Deer Valley Rd Suite 120 Peoria AZ 85382-2107 |
| Practice Telephone | 6235728855 |
| Mailing Telephone | 6235728855 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2007-08-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
1827 | AZ | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | TAX ID | 2029687771 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144540113 | William Dewayne Womack | Marriage & Family Therapist | 674 Burtis St, Santa Barbara, CA 93111-2708 | 2010-06-01 |
| 1396716874 | William R Womack | Family Medicine | 1525 N Granite Reef Rd, Ste 7, Scottsdale, AZ 85257-3998 | 2006-01-31 |
| 1487170767 | William Oliver Womack | Counselor | 1000 Atcheson St, Columbus, OH 43203-1353 | 2017-08-17 |
| 1184705444 | William Womack | Psychiatry & Neurology | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2006-10-17 |
| 1679678205 | William Brian Womack | Family Medicine | 1611 Joy Ln, Fort Mohave, AZ 86426-8807 | 2006-09-14 |
| 1528012291 | William A. Womack | Anesthesiology | 750 Morphy Ave, Fairhope, AL 36532-1812 | 2006-05-19 |
| 1205889383 | William L Womack Jr. | Emergency Medicine | 404 N Keene St, Columbia, MO 65201-6626 | 2006-05-18 |
| Street Address |
7505 W DEER VALLEY RD SUITE 120 |
| City | PEORIA |
| State | AZ |
| Zip Code | 85382-2107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063970317 | Mettler Griego Family Dentistry Plcc | Dentist | 7505 W Deer Valley Rd, Peoria, AZ 85382-2107 | 2019-03-06 |
| 1417339334 | Mettler Global Services LLC | Dentist | 7505 W Deer Valley Rd, Suite 100, Peoria, AZ 85382-2107 | 2015-06-27 |
| 1336535152 | Kidz R Kool | Dentist | 7505 W Deer Valley Rd, Suite 110, Peoria, AZ 85382-2107 | 2015-04-08 |
| 1376983510 | Charles J. Gatti D.d.s. P.C. | Dentist | 7505 W Deer Valley Rd, Suite #140, Peoria, AZ 85382-2107 | 2013-07-02 |
| 1881031482 | Christopher Andrew Teeters | Dentist | 7505 W Deer Valley Rd, Peoria, AZ 85382-2107 | 2013-05-23 |
| 1790032233 | Phoenix Sleep Center for Snoring & Sleep Apnea, LLC | Durable Medical Equipment & Medical Supplies | 7505 W Deer Valley Rd, Suite 120b, Peoria, AZ 85382-2107 | 2012-08-14 |
| 1053526566 | Victoria Trinidad Griego | Dentist | 7505 W Deer Valley Rd, Suite 100, Peoria, AZ 85382-2107 | 2007-05-10 |
| 1891909982 | Timothy Marlin Mettler | Dentist | 7505 W Deer Valley Rd, Suite 100, Peoria, AZ 85382-2107 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205435146 | Arizona Ot Solutions LLC | Occupational Therapist | 7450 W. Karen Lee Lane, Peoria, AZ 85382 | 2020-10-21 |
| 1497380604 | Idream Psychiatry | Psychiatry & Neurology | 8194 West Deer Valley Rd, 106-516, Peoria, AZ 85382 | 2020-03-08 |
| 1770137648 | Stefan Cseh | Occupational Therapy Assistant | 8765 W Keiton Lane #116, Peona, AZ 85382 | 2019-07-30 |
| 1174177422 | Assyrian Cultural Foundation of Arizona | Homemaker | 9163 West Union Hills Drive, Suite 114 and 115, Peoria, AZ 85382 | 2019-07-25 |
| 1073072765 | Darby Shipman | Physical Therapist | 8685 W. Union Hills Drive, Peoria, AZ 85382 | 2019-03-13 |
| 1811483480 | Kimberly Ann Cochran | Nurse Practitioner | 8194 W Deer Valley Rd Ste 106-516, Peoria, AZ 85382 | 2018-07-07 |
| 1831693514 | Summa Health Care, PC | Family Medicine | 8877 W Union Hills Dr Ste 240, Peoria, AZ 85382 | 2018-03-19 |
| 1497258727 | Nkemdirim Obiora | Nurse Practitioner | 7853 West Lone Cactus Drive, Peoria, AZ 85382 | 2018-03-13 |
| 1851893721 | Alyssa Michelle Bauman | Registered Nurse | 20283 N Lake Pleasant Rd Ste 112, Peoria, AZ 85382 | 2018-03-06 |
| 1043767106 | Jason Mcaddley | Pharmacist | 9425 West Union Hills Drive, Peoria, AZ 85382 | 2016-09-07 |
| Find all providers in zip 85382 | ||||
| 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 |
|---|---|---|---|---|
| 1790310431 | Gregory D Long II | Dentist | 7131 N Knoxville Ave Ste B, Peoria, IL 61614-2088 | 2020-03-03 |
| 1568875920 | Schuler & Arkwell Orthodontic Partnership | Dentist | 2425 Cornerstone Ct. Ste. A, Peoria, IL 61614 | 2014-06-03 |
| 1780002964 | Elliot Saperstein | Dentist | 8248 W Deer Valley Rd Ste A-110, Peoria, AZ 85382-2198 | 2014-04-03 |
| 1659520617 | Devin L Croft | Dentist | 9772 W Yearling Rd, Ste A1600, Peoria, AZ 85383-1380 | 2008-09-15 |
| 1073733275 | Patrick Micheal Cusack | Dentist | 1324 W. Northmoor Rd., Peoria, IL 61614 | 2007-04-27 |
| 1851510648 | Orthodontic Centers of Az | Dentist | 7545 W Bell Rd, #106, Peoria, AZ 85382-3832 | 2007-04-24 |
| 1306988092 | Midwest Orthodontic Associates | Dentist | 5006 N University St, Peoria, IL 61614-4715 | 2007-02-12 |
| 1801954193 | Herbert Ivan Cueto | Dentist | 8392 W Thunderbird Rd, Peoria, AZ 85381-5635 | 2006-12-05 |
| 1851467393 | Kristen Leigh Benes | Dentist | 15188 N 75th Ave, Suite 280, Peoria, AZ 85381-4723 | 2006-11-27 |
| 1265511703 | Ousama El-hillal | Dentist | 8272 W Lake Pleasant Pkwy, Suite #209, Peoria, AZ 85382-7431 | 2006-11-03 |
| Find all providers in PEORIA | ||||
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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.