Mark J. Walsh, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

37039 Issued in TX

Practice address

7325 Flat Rock LN
Tyler, TX 75703-7389

Phone

(830) 358-3538

NPI assigned

Apr 11, 2017

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: mwalsh466777@ahs.direct-ci.com

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1427581065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4S615 KARNS RD",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631508",
            "telephone_number": "830-358-6353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7325 FLAT ROCK LN",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757037389",
            "telephone_number": "830-358-3538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "MARK",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-11",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "37039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Crosby Waller, MSCN
• Chelsea Walling, LMFT ASSOCIATE
• Stephen Walling, MD
• Reagan Walls, MSN, APRN, FNP-C
• Ellen Stockton Walraven, M.D.
• Sadie Rose Walter, DO
• Vicki Lynne Walter, PTA
• Sheri Lynn Walters
• Carla Cecilia Wang-Kocik, MD
• Hua Wang

• Pediatric Dentistry in Tyler, TX
• Providers in Tyler, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; 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.