Walla Walla Oms, LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

WALLA WALLA OMS, LLC

Practice address

312 S 3Rd Ave
Walla Walla, WA 99362-3037

Phone

(509) 529-3760

NPI assigned

Dec 22, 2011

Last updated

Dec 22, 2011By 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. Antonio Caso, D.D.S.NPI 1689844003

Title

Senior Partner

Phone

(509) 529-3760

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 2

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.

• Antonio Caso, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Walla Walla, WA
  • NPI 1689844003
  Medicare reassignment Authorized official
• Cecil S Ash, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Poulsbo, WA
  • NPI 1538104682
  Medicare reassignment NPD

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324512000000",
    "number": "1417226283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 S 3RD AVE",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993623037",
            "telephone_number": "509-529-3760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 S 3RD AVE",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993623037",
            "telephone_number": "509-529-3760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLA WALLA OMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-22",
        "last_updated": "2011-12-22",
        "status": "A",
        "authorized_official_last_name": "CASO",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "SENIOR PARTNER",
        "authorized_official_telephone_number": "509-529-3760",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walla Walla General Hospital (Adventist Health Medical Group)
• Walla Walla General Hospital (Adventist Health Surgical Specialists)
• Walla Walla General Hospital (Adventist Health Medical Group)
• Walla Walla Homemedical Inc
• Walla Walla Naturopathic PLLC (Melissa McClintock)
• Walla Walla Orthodontics
• Walla Walla Pediatric Dentistry
• Walla Walla Physical Therapy Center Aps
• Walla Walla Public Schools
• Walla Walla Senior Citizens Center Inc (The Center at the Park)

• Oral and Maxillofacial Surgery (Dentist) in Walla Walla, WA
• Providers in Walla Walla, 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 Dec 22, 2011; 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.