NPIMap

Individual provider Active NPI

Dallas C Walz, M.D.

  • Family Medicine Physician
  • Salina, KS
National Provider Identifier
1043578834
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-36780 Issued in KS
Practice address
651 E Prescott Rd
Salina, KS 67401-7408
Phone
(785) 825-7251
Fax
(785) 825-6887
NPI assigned
Apr 30, 2012
Last updated
Jan 12, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 04-36780 KS Primary

Addresses

Primary practice location

651 E Prescott Rd
Salina, KS 67401-7408

Mailing address

651 E Prescott Rd
Salina, KS 67401-7408
Phone (785) 825-7251

Other identifiers 1

IdentifierTypeStateIssuer
04-36780OtherKSBOHA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140218001674 KS Practitioner - Family Practice 9335128149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sheridan County HospitalGroup PAC ID 7416842380, 13 clinicians

Practice addresses (Care Compare)

826 18TH St
Hoxie, KS 67740-4371
Phone (785) 675-3281

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-36780KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sheridan County Hospital CurrentSince Jul 1, 2020 Accepting new patients
Sheridan County Hospital CurrentSince Jul 1, 2020 Accepting new patients
Sheridan County Hospital Current Accepting new patients
Sheridan County Hospital Past Accepting new patients
Sheridan County Hospital Past Accepting new patients
Great Plains of Cheyenne Co. Inc Past Accepting new patients

Locations

826 18th St
Hoxie, KS 67740
Phone (785) 675-3018

826 18th St
Ste A
Hoxie, KS 67740
Phone (785) 675-3018

Interoperability endpoints

  • Direct secure messaging: dallas.walz.p1@direct.schcmed.nextgenshare.com

Organizations & group practices 6

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1043578834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 E PRESCOTT RD",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674017408",
            "telephone_number": "785-825-7251",
            "fax_number": "785-825-6887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 E PRESCOTT RD",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674017408",
            "telephone_number": "785-825-7251",
            "fax_number": "785-825-6887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALZ",
        "first_name": "DALLAS",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-30",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-36780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOHA",
            "identifier": "04-36780",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

Verify at the official NPI Registry.