Walberto Cantu, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

122300000X Issued in WA

Practice address

4001 Kennedy Rd Ste 1
West Richland, WA 99353-7353

Phone

(509) 980-0155

Fax

(509) 392-8565

NPI assigned

Mar 27, 2014

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

Enrolled in WA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Walberto Cantu DDS PLLC

  • General Practice Dentistry
  • West Richland, WA
  • NPI 1508457110
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1346667292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 KENNEDY RD STE 1",
            "city": "WEST RICHLAND",
            "state": "WA",
            "postal_code": "993537353",
            "telephone_number": "509-980-0155",
            "fax_number": "509-392-8565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 KENNEDY RD STE 1",
            "city": "WEST RICHLAND",
            "state": "WA",
            "postal_code": "993537353",
            "telephone_number": "509-980-0155",
            "fax_number": "509-392-8565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7600 E Camelback Rd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852512106",
            "country_code": "US",
            "telephone_number": "480-530-0022",
            "fax_number": "480-530-0025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANTU",
        "first_name": "WALBERTO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-27",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "122300000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Boyce, DC
• Aaron James Braginton, DMD
• Molly Brose
• Autumn Lindsey Brown, LMT
• Stephanie J Bucci, CMI
• Reanne Lorelei Chilton
• Chrysalis Therapy, PLLC
• Elizabeth Clark, LMP
• Athalia L Clower, PA-C
• Richard Ray Coleman, RN

• Dentist in West Richland, WA
• Providers in West Richland, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.