Richard Worsham

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10203 Issued in IA

Practice address

2427 Northgate St
Ottumwa, IA 52501-1117

Phone

(641) 684-4889

NPI assigned

May 20, 2024

Sex

Male

Sole proprietor

No

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

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.

• Bridge City Dental, PC

  • General Practice Dentistry
  • Ottumwa, IA
  • NPI 1073122354
  NPD

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1295574200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2427 NORTHGATE ST",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525011117",
            "telephone_number": "641-684-4889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2427 NORTHGATE ST",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525011117",
            "telephone_number": "641-684-4889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORSHAM",
        "first_name": "RICHARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "10203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latisha Wilson
• Shania Wilz, PHARMD
• Claire Wofford, LMSW
• Adria Wolver, RPH
• Dawn Woods, CADC
• Heather Lynn Worth, ARNP
• Cynthia Myra Wurr, ARNP
• Benjamin Lee Wyldes, CADC
• Nisreen M.a. H. Yaghmour, M.D.
• Clark Young, LMHC

• General Practice Dentistry in Ottumwa, IA
• Providers in Ottumwa, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.