Active NPI
Rolf Malcolm Wuerch, D.D.S.
- Endodontics
- Richland, WA
National Provider Identifier
1386692556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DE00010481
- Practice address
- 1363 Columbia Park TRL Ste 201
Richland, WA 99352-4770 - Phone
- (509) 735-9735
- Fax
- (509) 735-9598
- NPI assigned
- May 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 46447 | CA | |
| Endodontics | 1223E0200X | DE00010481 | WA | Primary |
Addresses
Primary practice location
1363 Columbia Park TRL Ste 201
Richland, WA 99352-4770
Mailing address
1363 Columbia Park TRL Ste 201
Richland, WA 99352-4770
Phone (509) 735-9735
Other practice location 1
901 W Main St
Walla Walla, WA 99362-2746
Phone (509) 593-4697
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
| License | State | Type | Specialty |
|---|---|---|---|
| 46447 | CA | MD | Endodontist |
| DE00010481 | WA | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hansen Hawkins and Wuerch PLLC | Endodontics | Current | Accepting new patients |
| Hansen Hawkins and Wuerch PLLC | Endodontics | Current | Accepting new patients |
Locations
1363 Columbia Park Trl
#201
Richland, WA 99352
Phone (509) 735-9735
901 W Main St
Walla Walla, WA 99362
Phone (509) 593-4697
Organizations & group practices 2
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.
-
- Endodontics
- Walla Walla, WA
- NPI 1942141361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610409600000",
"number": "1386692556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1363 COLUMBIA PARK TRL STE 201",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993524770",
"telephone_number": "509-735-9735",
"fax_number": "509-735-9598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1363 COLUMBIA PARK TRL STE 201",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993524770",
"telephone_number": "509-735-9735",
"fax_number": "509-735-9598"
}
],
"practiceLocations": [
{
"address_1": "901 W Main St",
"address_purpose": "LOCATION",
"city": "Walla Walla",
"state": "WA",
"postal_code": "993622746",
"country_code": "US",
"telephone_number": "509-593-4697",
"fax_number": "509-735-9598",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WUERCH",
"first_name": "ROLF",
"middle_name": "MALCOLM",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2021-01-12",
"certification_date": "2021-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "46447",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "WA",
"license": "DE00010481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.