David Alan Walls, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

056139 Issued in NY

Practice address

959 Brush Hollow Rd
Suite 102
Westbury, NY 11590-1778

Phone

(516) 333-5900

NPI assigned

Jan 17, 2008

Sex

Male

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: dwalls339706@hisp.ehr.sutterhealth.org

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.

• Dr. David a. Walls, Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Modesto, CA
  • NPI 1013882323
  NPD
• Long Island Oral Surgery Associates

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Syosset, NY
  • NPI 1164614178
  NPD (past)
• Long Island Oral Surgery Associates, PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Great Neck, NY
  • NPI 1306201066
  NPD (past)

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344988800000",
    "number": "1285810499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MORNINGSIDE DR",
            "address_2": "APT. 1203",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100252422",
            "telephone_number": "646-784-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "959 BRUSH HOLLOW RD",
            "address_2": "SUITE 102",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115901778",
            "telephone_number": "516-333-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLS",
        "first_name": "DAVID",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-17",
        "last_updated": "2012-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "056139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackelyn R Waldman, SPECIAL EDUCATOR
• Walgreen Co
• Walgreen Co
• Brenda Wallace-Levy, PA
• Bridget Quinn Wallace, TEACHER
• Lindsay Walsh Andrews, LMHC
• Christine Frances Walsh
• Michelle Walsh
• Nellie Taylor Walthrust, CASAC
• Michele Walton

• Oral and Maxillofacial Surgery (Dentist) in Westbury, NY
• Providers in Westbury, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.