Individual provider Active NPI

Alys Marie Walter, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Phillipsburg, NJ
National Provider Identifier
1063806875
Registry record updated Feb 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
22DI02654600 Issued in NJ
Practice address
835 Belvidere Rd
Phillipsburg, NJ 08865-1384
Phone
(908) 859-4555
NPI assigned
Mar 19, 2015
Last updated
Feb 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DS040238 PA
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 22DI02654600 NJ Primary

Addresses

Primary practice location

835 Belvidere Rd
Phillipsburg, NJ 08865-1384

Mailing address

835 Belvidere Rd
Phillipsburg, NJ 08865-1384
Phone (908) 859-4555

Other practice location 1

243 Hyde Park Rd
Leechburg, PA 15656-9670
Phone (724) 845-2400

Other names 1

  • Ms. Alys Murdoch Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22DI02654600NJMDOrthodontics and Dentofacial Orthopedic Dentist
DS040238PAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Annette Merlino DMD, Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1063806875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 BELVIDERE RD",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088651384",
            "telephone_number": "908-859-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 BELVIDERE RD",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088651384",
            "telephone_number": "908-859-4555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "243 Hyde Park Rd",
            "address_purpose": "LOCATION",
            "city": "Leechburg",
            "state": "PA",
            "postal_code": "156569670",
            "country_code": "US",
            "telephone_number": "724-845-2400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTER",
        "first_name": "ALYS",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-19",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "DS040238",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "22DI02654600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYS",
            "last_name": "MURDOCH",
            "prefix": "MS.",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phillipsburg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; 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.