Ryan D Womack MD DDS PLLC

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

License

DE.60280647 Issued in WA

Legal business name

RYAN D WOMACK MD DDS PLLC

Doing business as

Capital Oral & Maxillofacial Surgery

Practice address

400 Yauger Way SW
Suite a
Olympia, WA 98502-8139

Phone

(360) 754-9444

Fax

(360) 754-8335

NPI assigned

Jul 16, 2012

Organization subpart

No

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

Authorized official

Name

Ryan David Womack, MD, DDS

Title

Owner

Phone

(360) 754-9444

Specialties & licenses 1

Addresses

Other names 1

• Capital Oral & Maxillofacial Surgery Doing business as

Locations

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342396800000",
    "number": "1932454030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 YAUGER WAY SW",
            "address_2": "SUITE A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028139",
            "telephone_number": "360-754-9444",
            "fax_number": "360-754-8335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 YAUGER WAY SW",
            "address_2": "SUITE A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028139",
            "telephone_number": "360-754-9444",
            "fax_number": "360-754-8335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN D WOMACK MD DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-16",
        "last_updated": "2012-07-16",
        "status": "A",
        "authorized_official_last_name": "WOMACK",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-754-9444",
        "authorized_official_credential": "MD, DDS"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "DE.60280647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capital Oral & Maxillofacial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shannon Russell, LMHC
• Stephen Dickinson Russell Jr., D.D.S.
• Sunny R Russell
• Monica Irene Rutledge
• Christopher Rutzer
• Ryan Wathne PLLC
• Jessica L Ryan
• Nolan Patrick Ryan, PA
• Bonnie R. Ryding, ARNP
• Theresa Ryken, MA

• Oral and Maxillofacial Surgery Clinic/Center in Olympia, WA
• Providers in Olympia, WA by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; 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.