William G Shoemaker, D.M.D

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

D009402 Issued in AZ

Practice address

120 W 24TH St
Yuma, AZ 85364-8551

Phone

(928) 783-2106

NPI assigned

Jan 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Dec 1, 2015 through Dec 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Mark L. Pledger, DDS, Inc.

  • Oral and Maxillofacial Pathology Dentistry
  • Murrieta, CA
  • NPI 1699863795
  NPD (past)
• Shabaz Sandhu Oral Surgery, Inc.

  • Oral and Maxillofacial Surgery (Dentist)
  • Murrieta, CA
  • NPI 1235095209
  NPD (past)

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1174594725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W 24TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648551",
            "telephone_number": "928-783-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W 24TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648551",
            "telephone_number": "928-783-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOEMAKER",
        "first_name": "WILLIAM",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AZ",
            "license": "D009402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert James Shelton, MASTER OF EDUCATION
• David G Shelver, CRNA
• Travis B Sherman, DO
• Daelynn Shiflett, COTA
• Kristine Shjerve, MA/LPC
• Carvin Henry Short, P.T.
• Kirk Jameson Short, P.T., D.P.T.
• Sarina Shrestha, MD
• Shri Sai LLC
• Shailee Purveshbhai Shroff

• Oral and Maxillofacial Surgery (Dentist) in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Oral and Maxillofacial Surgery (Dentist) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.