Individual provider Active NPI

David Robert Womble, D.D.S.

  • General Practice Dentistry
  • Oklahoma City, OK
National Provider Identifier
1710910534
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3978 Issued in OK
Practice address
7101 NW Expressway St
Suite 105
Oklahoma City, OK 73132-1578
Phone
(405) 722-7042
Fax
(405) 773-0443
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3978 OK Primary

Addresses

Primary practice location

7101 NW Expressway St
Suite 105
Oklahoma City, OK 73132-1578

Mailing address

7101 NW Expressway St
Suite 105
Oklahoma City, OK 73132-1578
Phone (405) 722-7042

Other names 1

  • Dr. Robert Womble Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20150323001579 OK Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9830416387

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3978OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Brixton Family Dental PastSince Feb 11, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710910534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 NW EXPRESSWAY ST",
            "address_2": "SUITE 105",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731321578",
            "telephone_number": "405-722-7042",
            "fax_number": "405-773-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 NW EXPRESSWAY ST",
            "address_2": "SUITE 105",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731321578",
            "telephone_number": "405-722-7042",
            "fax_number": "405-773-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOMBLE",
        "first_name": "DAVID",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "3978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "WOMBLE",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.