Derrik Walton DDS & Darren J. Ruesch DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1008 & 1135 Issued in WY

Legal business name

DERRIK WALTON DDS & DARREN J. RUESCH DDS, PC

Practice address

1525 Bleistein Ave
Cody, WY 82414-3806

Phone

(307) 587-2951

Fax

(307) 587-2760

NPI assigned

Jun 4, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Derrik P Walton, DDSNPI 1013017136

Title

President

Phone

(307) 587-2951

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Derrik Porter Walton, D.D.S.

  • General Practice Dentistry
  • Cody, WY
  • NPI 1013017136
  NPD (past) Authorized official
• Darren Jan Ruesch, DDS

  • General Practice Dentistry
  • Cody, WY
  • NPI 1811098775
  NPD (past)

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154523728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 BLEISTEIN AVE",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824143806",
            "telephone_number": "307-587-2951",
            "fax_number": "307-587-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 BLEISTEIN AVE",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824143806",
            "telephone_number": "307-587-2951",
            "fax_number": "307-587-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERRIK WALTON DDS & DARREN J. RUESCH DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "DERRIK",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-587-2951",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WY",
            "license": "1008 & 1135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Davis, PMHNP
• Connor Ross Deal, M.D.
• Rebecca Anne Deal, M.D.
• Tarra Louisa Deiter-Enright, D.O.
• Glenis A Denney
• Jacob G Despain, O.D.
• Misty A Di Meglio
• Chelsea Dillahunty
• Leyla Dim, LPC
• Kathleen Ann Divincenzo, M.D.

• General Practice Dentistry in Cody, WY
• Providers in Cody, WY by specialty
• General Practice Dentistry in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.