Walton Matthew Desplas, RN

Primary specialty

Infection Control Registered NurseTaxonomy code 163WI0600X

License

794082 Issued in TX

Practice address

7777 Forest LN Ste B122
Dallas, TX 75230-6806

Phone

(972) 383-1060

Fax

(972) 383-1061

NPI assigned

Oct 8, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538956800000",
    "number": "1235604042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 DUBLIN DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750805840",
            "telephone_number": "682-559-0288",
            "fax_number": "972-383-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE B122",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752306806",
            "telephone_number": "972-383-1060",
            "fax_number": "972-383-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESPLAS",
        "first_name": "WALTON",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-08",
        "last_updated": "2018-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infection Control",
            "state": "NV",
            "license": "RN79257",
            "primary": false
        },
        {
            "code": "163WI0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infection Control",
            "state": "TX",
            "license": "794082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Lee Desjardins, M.S., CCC-SLP
• Ronald Wilson Deskin, MD
• Desnak PA
• Desoto Surgicare Partners, LTD
• Stephanie Despaint, CRT
• Jaylin Izabella Destefano-Malik
• Nancy Morrison Destefano, LCSW
• Destiny Rose Healthcare Services Inc
• Destiny Rose Residential Care Facility
• Destinys Home Health Care

• Infection Control Registered Nurse in Dallas, TX
• Providers in Dallas, TX by specialty
• Infection Control Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; 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.