Individual provider Active NPI

William Harvey Walls Jr., D.D.S.

  • Dentist
  • Chesapeake, VA
National Provider Identifier
1376578161
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401007229 Issued in VA
Practice address
656 Independence Pkwy
Suite 210
Chesapeake, VA 23320-5213
Phone
(757) 548-1919
Fax
(757) 548-4492
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401007229 VA Primary

Addresses

Primary practice location

656 Independence Pkwy
Suite 210
Chesapeake, VA 23320-5213

Mailing address

656 Independence Pkwy
Suite #210
Chesapeake, VA 23320-5213
Phone (757) 548-1919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0401007229VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
William H. Walls, D.D.S., P.C. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328140800000",
    "number": "1376578161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "656 INDEPENDENCE PKWY",
            "address_2": "SUITE #210",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233205213",
            "telephone_number": "757-548-1919",
            "fax_number": "757-548-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 INDEPENDENCE PKWY",
            "address_2": "SUITE 210",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233205213",
            "telephone_number": "757-548-1919",
            "fax_number": "757-548-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLS",
        "first_name": "WILLIAM",
        "middle_name": "HARVEY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2012-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401007229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; 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.