Active NPI
Nels Walther, DMD
- Dentist
- Vancouver, WA
National Provider Identifier
1205214327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D10215
- Practice address
- 1601 E 4TH Plain Blvd
Vancouver, WA 98661-3713 - Phone
- (360) 619-5990
- NPI assigned
- May 8, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D10215 | OR | Primary |
Addresses
Primary practice location
1601 E 4TH Plain Blvd
Vancouver, WA 98661-3713
Mailing address
1601 E 4TH Plain Blvd
Vancouver, WA 98661-3713
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
| License | State | Type | Specialty |
|---|---|---|---|
| D10215 | OR | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759363200000",
"number": "1205214327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 E 4TH PLAIN BLVD",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986613713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 E 4TH PLAIN BLVD",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986613713",
"telephone_number": "360-619-5990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTHER",
"first_name": "NELS",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-08",
"last_updated": "2025-10-02",
"certification_date": "2025-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "D10215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.