Jessica Dispena Walter, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21344 Issued in MA

Practice address

859 Washington Street
Holliston, MA 01746

Phone

(508) 429-4445

Fax

(508) 429-0853

NPI assigned

Sep 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Edmond Massabni PC

  • Dentist
  • Holliston, MA
  • NPI 1255637427
  NPD (past)
• Holliston Dental PC

  • General Practice Dentistry
  • Holliston, MA
  • NPI 1285649442
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265536767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 WHITTIER ROAD",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "02481",
            "telephone_number": "617-548-3837",
            "fax_number": "508-429-0853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 WASHINGTON STREET",
            "city": "HOLLISTON",
            "state": "MA",
            "postal_code": "01746",
            "telephone_number": "508-429-4445",
            "fax_number": "508-429-0853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTER",
        "first_name": "JESSICA",
        "middle_name": "DISPENA",
        "name_prefix": "Mrs.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "21344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Town of Holliston
• Andrea Bettacchi Urban, MD
• Rachel A Vespole, M.D.
• Maegan Alexa Garvey Visconti, LMHC, BC-DMT
• Vital Rehab Physical Therapy
• Wellness Health Choice, LLC
• Veralyn Clare Werner, SLP
• Andrea Marie Williams, B.C.B.A.
• Nicholas Wong
• Lisa Wood, D,C,

• General Practice Dentistry in Holliston, MA
• Providers in Holliston, MA by specialty
• General Practice Dentistry in Massachusetts

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