Walter & Chen, PS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

601276100 Issued in WA

Legal business name

WALTER & CHEN, PS

Practice address

3400 Squalicum Pkwy Ste 102
Bellingham, WA 98225-1933

Phone

(360) 676-8920

Fax

(360) 647-5988

NPI assigned

May 25, 2007

Last updated

Jul 2, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Phillip M Chen, DDSNPI 1831301019

Title

President

Phone

(360) 676-8920

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Cheney & Walter, PS Former legal business name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Phillip Minfu Chen, DDS,MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Bellingham, WA
  • NPI 1831301019
  Medicare reassignment Authorized official
• Scott Clayhold, DMD, MDS

  • Oral and Maxillofacial Pathology Dentistry
  • Issaquah, WA
  • NPI 1982662482
  NPD (past)
• Charles Walter, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Bellingham, WA
  • NPI 1093883779
  NPD (past)
• Ronald L Guttu, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Beloit, WI
  • NPI 1417952011
  NPD (past)

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341187200000",
    "number": "1356552970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SQUALICUM PKWY STE 102",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251933",
            "telephone_number": "360-676-8920",
            "fax_number": "360-647-5988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SQUALICUM PKWY STE 102",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251933",
            "telephone_number": "360-676-8920",
            "fax_number": "360-647-5988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER & CHEN, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2012-07-02",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-676-8920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "601276100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5064902",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5317003",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cheney & Walter, PS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Ashlee Mary Walls, M.D.
• Regina Walls
• Walmart Inc. (Walmart Pharmacy 10-2450)
• Kyrin Walsh
• Patrick Glen Walsh, RN
• Charles Walter, DDS
• Jenny Violet Walter, PA-C
• Taylor Lauren Walter, LMT
• Danielle Walters, RN
• Donald Thomas Walters, DDS

• Oral and Maxillofacial Surgery (Dentist) in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.