William Charles Wambaugh, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

12628 Issued in TX

Practice address

4747 Research Forest Drive
Suite 410
The Woodlands, TX 77381-4901

Phone

(281) 367-3348

Fax

(281) 292-9563

NPI assigned

Oct 24, 2006

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

Enrolled in TX

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

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.

• Cory W Bailey DDS PC

  • Dental Clinic/Center
  • Cypress, TX
  • NPI 1407645005
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508940933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 RESEARCH FOREST DRIVE",
            "address_2": "SUITE 410",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773814901",
            "telephone_number": "281-367-3348",
            "fax_number": "281-292-9563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 RESEARCH FOREST DRIVE",
            "address_2": "SUITE 410",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773814901",
            "telephone_number": "281-367-3348",
            "fax_number": "281-292-9563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAMBAUGH",
        "first_name": "WILLIAM",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "12628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Dentist in Texas

• 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.
• 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.