Organization Active NPI

Donald E. Walter DDS PC

  • General Practice Dentistry
  • Wheeling, WV
National Provider Identifier
1447895008
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DONALD E. WALTER DDS PC
Practice address
1 Park View LN
Wheeling, WV 26003-5442
Phone
(304) 242-9550
NPI assigned
Nov 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

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

Authorized official

Name
Dr. Donald Walter, DDSNPI 1275689572
Title
Dentist
Phone
(304) 242-9550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1 Park View LN
Wheeling, WV 26003-5442

Mailing address

1 Park View LN
Wheeling, WV 26003-5442
Phone (304) 242-9550

Other identifiers 1

IdentifierTypeStateIssuer
1275689572MedicaidWV

National Provider Directory

National Provider Directory

Locations

1 Park View Ln
Wheeling, WV 26003
Phone (304) 242-9550

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573084800000",
    "number": "1447895008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PARK VIEW LN",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260035442",
            "telephone_number": "304-242-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PARK VIEW LN",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260035442",
            "telephone_number": "304-242-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD E. WALTER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-07",
        "last_updated": "2019-11-07",
        "status": "A",
        "authorized_official_last_name": "WALTER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "304-242-9550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275689572",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.