Gordon W. Womack DDS Inc

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

GORDON W. WOMACK DDS INC

Practice address

3300 Kemp Rd
Beavercreek, OH 45431

Phone

(937) 426-2653

NPI assigned

Jul 25, 2018

Organization subpart

No

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

Authorized official

Name

Tamonia Leonard

Title

Credentialing Speciailst

Phone

(678) 244-4844

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532563200000",
    "number": "1922585694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 KEMP RD",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454314200",
            "telephone_number": "937-426-2653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 KEMP RD",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "45431",
            "telephone_number": "937-426-2653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON W. WOMACK DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-25",
        "last_updated": "2018-07-26",
        "status": "A",
        "authorized_official_last_name": "LEONARD",
        "authorized_official_first_name": "TAMONIA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIAILST",
        "authorized_official_telephone_number": "678-244-4844"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Good Morning Physical Therapy and Rehab
• Patricia A. Gooding, M.S. LPCC
• Lisa Kay Goodrich, APRN
• Theresia Gordnier
• Gordon W Womack DDS Inc
• Michael W Gorsky, M.D.
• Sarah Gould, PA
• Grace and Hope Home Health Care Inc
• Graceworks Enhanced Living
• Graceworks Enhanced Living

• Pediatric Dentistry in Beavercreek, OH
• Providers in Beavercreek, OH by specialty
• Pediatric Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; 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.