Individual provider Active NPI

Deborah A Romack, D.D.S.

  • Customized Equipment (DME)
  • Weatherford, TX
National Provider Identifier
1790947604
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
19342 Issued in TX
Practice address
114 W Columbia St
Weatherford, TX 76086-4312
Phone
(817) 594-3806
NPI assigned
Jul 1, 2008
Last updated
Nov 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 19342 TX Primary
General Practice Dentistry 1223G0001X 19342 TX

Addresses

Primary practice location

114 W Columbia St
Weatherford, TX 76086-4312

Mailing address

114 W Columbia St
Weatherford, TX 76086-4312
Phone (817) 594-3806

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150416000215 TX Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8628296092

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19342TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Weatherford Cosmetic and Family Dentistry, P.C. CurrentSince May 25, 1990 Accepting new patients
Weatherford Cosmetic & Family Dentistry General Practice Current Accepting new patients

Locations

114 W Columbia St
Weatherford, TX 76086
Phone (817) 594-3806

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1790947604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 W COLUMBIA ST",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760864312",
            "telephone_number": "817-594-3806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W COLUMBIA ST",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760864312",
            "telephone_number": "817-594-3806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMACK",
        "first_name": "DEBORAH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-01",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "TX",
            "license": "19342",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19342",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherford, TX

Sources for this page

Verify at the official NPI Registry.