Organization Active NPI

Walter M Jarrell DDS Inc

  • Dentist
  • Tomball, TX
National Provider Identifier
1164617478
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7718 Issued in TX
Legal business name
WALTER M JARRELL DDS INC
Practice address
1305 Keefer Street
Suite B
Tomball, TX 77375
Phone
(281) 351-5403
Fax
(281) 255-3980
NPI assigned
Sep 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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

Authorized official

Name
Dr. Walter Marland Jarrell, DDS
Title
Dentist
Phone
(281) 351-5403

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 7718 TX Primary

Addresses

Primary practice location

1305 Keefer Street
Suite B
Tomball, TX 77375

Mailing address

PO Box 240
Tomball, TX 77377
Phone (281) 351-5403

National Provider Directory

National Provider Directory

Locations

1305 Keefer Rd
Ste B
Tomball, TX 77375
Phone (281) 351-5403

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1164617478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 240",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "77377",
            "telephone_number": "281-351-5403",
            "fax_number": "281-255-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 KEEFER STREET",
            "address_2": "SUITE B",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "77375",
            "telephone_number": "281-351-5403",
            "fax_number": "281-255-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER M JARRELL DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "JARRELL",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "MARLAND",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "281-351-5403",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "7718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.