NPIMap

Organization Active NPI

The Wallace Group General Dentistry for Today, Inc

  • Dentist
  • Norwood, OH
National Provider Identifier
1285004077
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
015533 Issued in OH
Legal business name
THE WALLACE GROUP GENERAL DENTISTRY FOR TODAY, INC
Practice address
5258 Montgomery Rd
Norwood, OH 45212-1648
Phone
(513) 531-2338
NPI assigned
Oct 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

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

Authorized official

Name
Dr. William R Wallace, DDS
Title
President
Phone
(513) 531-2338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 015533 OH Primary

Addresses

Primary practice location

5258 Montgomery Rd
Norwood, OH 45212-1648

Mailing address

5258 Montgomery Rd
Norwood, OH 45212-1648
Phone (513) 531-2338

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444089600000",
    "number": "1285004077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5258 MONTGOMERY RD",
            "city": "NORWOOD",
            "state": "OH",
            "postal_code": "452121648",
            "telephone_number": "513-531-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5258 MONTGOMERY RD",
            "city": "NORWOOD",
            "state": "OH",
            "postal_code": "452121648",
            "telephone_number": "513-531-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WALLACE GROUP GENERAL DENTISTRY FOR TODAY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-06",
        "last_updated": "2015-10-06",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-531-2338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "015533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; 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.