Walter Elton Maust Jr., D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DSO16478L Issued in PA

Practice address

41 Beck Mill Rd
Hanover, PA 17331-3833

Phone

(717) 632-5202

Fax

(717) 633-5948

NPI assigned

Aug 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1156550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477661973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 BECK MILL RD",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173313833",
            "telephone_number": "717-632-5202",
            "fax_number": "717-633-5948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 BECK MILL RD",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173313833",
            "telephone_number": "717-632-5202",
            "fax_number": "717-633-5948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUST",
        "first_name": "WALTER",
        "middle_name": "ELTON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DSO16478L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE EMPLOYER WITHHOLDIN",
            "identifier": "12165858",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Massaro, LBS, MS
• Douglas Joseph Masucci, M.D.
• Raymond Eric Mathews, MD
• Katelyn Matthews
• Damian Maust
• Jim Maxka, DPM
• May Eye Care PC (The May Eye Care Center & Associates)
• Carl J May Jr., MD
• Paul Mazeroff, ED.D
• Tracey Mazeska, OTR/L

• General Practice Dentistry in Hanover, PA
• Providers in Hanover, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.