Organization Active NPI

Grant D. Walton DMD, Ms, PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Marana, AZ
National Provider Identifier
1124856661
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
GRANT D. WALTON DMD, MS, PC
Practice address
13435 N Lon Adams Rd
Marana, AZ 85653-9714
Phone
(520) 812-7881
NPI assigned
Jul 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Authorized official

Name
Cassandra Wieth
Title
Payor Relations Manager
Phone
(623) 267-8121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

13435 N Lon Adams Rd
Marana, AZ 85653-9714

Mailing address

13435 N Lon Adams Rd
Marana, AZ 85653-9714

Other practice location 1

1187 E Cottonwood Ln Ste A1
Casa Grande, AZ 85122-2957
Phone (520) 421-1441

Other names 1

  • Walton Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

1187 E Cottonwood Ln
Ste A1
Casa Grande, AZ 85122
Phone (520) 421-1441

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1124856661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13435 N LON ADAMS RD",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "856539714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13435 N LON ADAMS RD",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "856539714",
            "telephone_number": "520-812-7881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1187 E Cottonwood Ln Ste A1",
            "address_purpose": "LOCATION",
            "city": "Casa Grande",
            "state": "AZ",
            "postal_code": "851222957",
            "country_code": "US",
            "telephone_number": "520-421-1441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GRANT D. WALTON DMD, MS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "WIETH",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "PAYOR RELATIONS MANAGER",
        "authorized_official_telephone_number": "623-267-8121"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walton Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marana, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.