Individual provider Active NPI

Veronica S Walch, DDS

  • General Practice Dentistry
  • Tehachapi, CA
National Provider Identifier
1457405292
Registry record updated Nov 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
50987 Issued in CA
Practice address
840 Tucker Rd
Suite I
Tehachapi, CA 93561-2564
Phone
(661) 822-1333
Fax
(661) 822-3313
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 50987 CA Primary

Addresses

Primary practice location

840 Tucker Rd
Suite I
Tehachapi, CA 93561-2564

Mailing address

840 Tucker Rd Ste I
Tehachapi, CA 93561-2565
Phone (661) 822-1333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160713002748 CA Order and Referring Only - DentistPractitioner - Dentist 7719279611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226361600000",
    "number": "1457405292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 TUCKER RD STE I",
            "city": "TEHACHAPI",
            "state": "CA",
            "postal_code": "935612565",
            "telephone_number": "661-822-1333",
            "fax_number": "661-822-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 TUCKER RD",
            "address_2": "SUITE I",
            "city": "TEHACHAPI",
            "state": "CA",
            "postal_code": "935612564",
            "telephone_number": "661-822-1333",
            "fax_number": "661-822-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALCH",
        "first_name": "VERONICA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2008-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tehachapi, CA

Sources for this page

Verify at the official NPI Registry.