Demian Scott Woyciehowsky, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DE 60306500 Issued in WA

Practice address

155 NE 192ND Ave Ste 105
Camas, WA 98607-7477

Phone

(360) 567-5064

NPI assigned

Oct 22, 2012

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Demian Woyciehowsky, DMD, PLLC

  • Dental Clinic/Center
  • Camas, WA
  • NPI 1548909948
  NPD Authorized official
• J Winger, DDS, PLLC

  • General Practice Dentistry
  • Vancouver, WA
  • NPI 1134093065
  NPD (past)
• Wendel Family Dental Centre PS

  • General Practice Dentistry
  • Vancouver, WA
  • NPI 1295844900
  NPD (past)
• Sleep Impressions, LLC

  • Specialist
  • Saint Louis, MO
  • NPI 1134547912

  Dentist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1083967467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 NE 192ND AVE STE 105",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986077477",
            "telephone_number": "360-567-5064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 NE 192ND AVE STE 105",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986077477",
            "telephone_number": "360-567-5064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOYCIEHOWSKY",
        "first_name": "DEMIAN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-22",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D9792",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "6352",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE 60306500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wintzer Acupuncture LLC
• Diane Susan Wintzer, LAC, EAMP
• Stockton Wise
• Abby Lauren Wisniewski, PT, DPT
• Lori Lynn Workman, LMP
• Hongshi Xu, MD
• Yufang Xue, L.AC., DIPL.C.H.
• James Chung Yoon, DMD
• Teresita Lizeth Zendejas
• Stephanie Ann Nellor Zoeller, LMHCA MC70074411

• Dentist in Camas, WA
• Providers in Camas, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.