Randall Carl Wing, D.D.S., M.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DDS-10419 Issued in IA

Practice address

4090 Westown Pkwy Ste B1
West Des Moines, IA 50266-6760

Phone

(513) 808-4984

NPI assigned

May 1, 2007

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1184845620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 SULLIVAN AVE. SUITE A-1",
            "city": "S. WINDSOR",
            "state": "CT",
            "postal_code": "06074",
            "telephone_number": "860-643-6942",
            "fax_number": "860-649-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4090 WESTOWN PKWY STE B1",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502666760",
            "telephone_number": "513-808-4984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 Sullivan Ave. Suite A-1",
            "address_purpose": "LOCATION",
            "city": "S. Windsor",
            "state": "CT",
            "postal_code": "06074",
            "country_code": "US",
            "telephone_number": "860-643-6942",
            "fax_number": "860-649-4347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WING",
        "first_name": "RANDALL",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IA",
            "license": "DDS-10419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Andrew Wilson, D.C.
• Zachary Douglas Wilson
• Alayna Therese Wiltgen, LMHC
• Mary Elizabeth Wims
• Susanne Elizabeth Windheuser, RPH
• Wings of Change Counseling, LLC
• Mary Ramona Wink, LMHC
• Winslow Chiropractic PC
• John 'Brian' Winslow, D.C.
• Abbie L. Winter, LMFT

• Pediatric Dentistry in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Pediatric Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.