JWCM, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

19475 Issued in TX

Legal business name

JWCM, LLC

Practice address

30875 Interstate 10 W
Suite B
Boerne, TX 78006-9252

Phone

(830) 755-6475

NPI assigned

Jul 16, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Julie Kristine Waltrip, DDS

Title

President/Dentist

Phone

(830) 755-6475

Specialties & licenses 2

Addresses

Other names 1

• Hill Country Dental Center Doing business as

Locations

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1235393596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30875 INTERSTATE 10 W",
            "address_2": "SUITE B",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780069252",
            "telephone_number": "830-755-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30875 INTERSTATE 10 W",
            "address_2": "SUITE B",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780069252",
            "telephone_number": "830-755-6475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JWCM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "WALTRIP",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "KRISTINE",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "830-755-6475",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "19475",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "19842",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hill Country Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathleen M Jordan, LCSW
• Joseph R Peterson MD PA
• JRK Surgical PLLC
• Katherine Lina Holloway Juarez, LPC-ASSOCIATE
• Mark A Jung, M.D.
• K. S. Monitoring, Inc.
• Kimberly Ayn Kahlig, SOLE PROPRIETOR
• Stephanie N. Kai, O.D.
• Karla N Munoz MD PLLC
• Erika Kathryn Kasch, PHARM.D.

• Dental Clinic/Center in Boerne, TX
• Providers in Boerne, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.