William John Worden, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D49026 Issued in CA

Practice address

5175 E Pacific Coast Hwy
Suite#204
Long Beach, CA 90804-3317

Phone

(562) 421-7686

Fax

(562) 597-0639

NPI assigned

Oct 10, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mark Ortega D.D.S., Inc

  • Pediatric Dentistry
  • Long Beach, CA
  • NPI 1720702129
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235227836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5175 E PACIFIC COAST HWY",
            "address_2": "SUITE#204",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908043317",
            "telephone_number": "562-421-7686",
            "fax_number": "562-597-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5175 E PACIFIC COAST HWY",
            "address_2": "SUITE#204",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908043317",
            "telephone_number": "562-421-7686",
            "fax_number": "562-597-0639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORDEN",
        "first_name": "WILLIAM",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "D49026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Robert Forrest Woodward, DPT, PT
• Elbria Wooley
• Kevin J Woolums, LMFT
• Michael Anthony Wooten, D.C.
• Howard Lester Worcester, M.D.
• Amber Marie Workman
• Dana Workman
• World Ear Acupuncture Association
• Samantha Worley
• Sandra Colleen Wortham

• Pediatric Dentistry in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.