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DR. RANDALL SCOTT WIDMAIER DC
NPI 1770548554
Chiropractor in Phoenix, AZ

Active since April 17, 2006Accepts Medicare Assignment
5080 N 40TH ST STE 104, PHOENIX, AZ 85018(602) 954-6200(602) 956-1582 Get Directions Write a Review

NPPES record last updated: February 18, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 18, 2021, Dec 13, 2017 (2 updates tracked since 2017).

About Dr. Randall Scott Widmaier Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RANDALL SCOTT WIDMAIER DC (NPI 1770548554) is an individual chiropractor in Phoenix, Arizona, licensed in Arizona (4220) and active in the NPI registry since April 2006. He is a graduate of Palmer College Chiropractic - West Sunnyvale (1982).

NPPES Registry Identity

NPI1770548554
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. RANDALL SCOTT WIDMAIERCredential: DC
Location Address5080 N 40TH ST STE 104Phoenix, AZ 85018-2158
Mailing Address5080 N 40th St Ste 104Phoenix, AZ 85018-2158 · (602) 954-6200 · Fax (602) 956-1582
Phone(602) 954-6200
Fax(602) 956-1582
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - West SunnyvaleGraduated 1982
Enumeration DateApril 17, 2006
Last NPPES UpdateFebruary 18, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2021
✔ NPI 1770548554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in AZ · 4220
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
5080 N 40TH ST STE 104, Phoenix, AZ 85018
Open in Google Maps ↗

Other Identifiers 6

Other0628191AZ · Aetna Hmo
Other1Z3082AZ · Healthnet
Other4268552AZ · Aetna
Other818677AZ · Apipa
Medicaid426305 55AZ
OtherAZ0245320AZ · Blue Cross/blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Randall Scott Widmaier Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234020025
PECOS Enrollment IDI20040322001425

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
1,233 services125 patients
Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
773 services88 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WIDMAIER CHIROPRACTIC
Clinic/Center
5080 N 40TH ST STE 104
PHOENIX, AZ 85018
Maricopa County (602) 954-6200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randall Widmaier's NPI number?

The NPI number for Randall Widmaier is 1770548554. It was assigned to this individual provider in the NPPES registry on April 17, 2006.

Where is Randall Widmaier located?

Randall Widmaier practices at 5080 N 40th St Ste 104, Phoenix, AZ 85018. The listed phone number is (602) 954-6200.

What is Randall Widmaier's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Randall Widmaier enrolled in Medicare?

Yes. Randall Widmaier is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Randall Widmaier accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Medica and Providence Health Plan and 1 other insurer list Randall Widmaier as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Randall Widmaier was last updated on February 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.