Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Randall Scott Widmaier, DC

Individual provider Chiropractor · NPI 1770548554

Dr. Randall Scott Widmaier, DC is a Chiropractic in Phoenix, Arizona. Graduated from Palmer College Chiropractic - West Sunnyvale in 1982, 44 years ago. Accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
44
Trained at
Palmer College Chiropractic - West Sunnyvale
Licensed in
AZ
In the registry since
2006
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

5080 N 40th St Ste 104
Phoenix, AZ 85018-2158
Phone: (602) 954-6200
Fax: (602) 956-1582
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 4220 (AZ)

Record details

NPI number1770548554
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedApril 17, 2006
Last updated in NPPESFebruary 18, 2021
Certification dateFebruary 18, 2021
Mailing address5080 N 40th St Ste 104, Phoenix, AZ 85018-2158

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolPALMER COLLEGE CHIROPRACTIC - WEST SUNNYVALE
Graduated 1982 (44 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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