Walter M Dise

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

9454 Issued in AZ

Legal business name

WALTER M DISE

Practice address

34095 N Slate Creek Dr
Queen Creek, AZ 85243-3420

Phone

(480) 430-5328

Fax

(480) 354-7247

NPI assigned

Jul 1, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Walter Dise

Title

Owner/President

Phone

(480) 430-5328

Specialties & licenses 1

Addresses

Other names 1

• General Medical Transportation Doing business as

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1265694012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34095 N SLATE CREEK DR",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "852433420",
            "telephone_number": "480-430-5328",
            "fax_number": "480-354-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34095 N SLATE CREEK DR",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "852433420",
            "telephone_number": "480-430-5328",
            "fax_number": "480-354-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER M DISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-01",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "DISE",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "480-430-5328",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "AZ",
            "license": "9454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "General Medical Transportation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wal-Mart Stores, Inc.
• Walgreen Co
• Walgreen Co
• Scott Dee Wallin, D.D.S.
• Walmart Inc.
• Brandon Wan, DO
• Tiffany Wangard, LACTATION CONSULTANT
• James Burt Ward, D.C.
• Terry Watson, AGACNP-BC
• Wayne a. Formica

• Non-emergency Medical Transport (VAN) in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Non-emergency Medical Transport (VAN) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.