Walberto Cantu DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

WALBERTO CANTU DDS PLLC

Practice address

4001 Kennedy Rd Ste 1
West Richland, WA 99353-7353

Phone

(509) 980-0155

NPI assigned

Jan 27, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Walberto Cantu, DDSNPI 1346667292

Title

Ceo

Phone

(509) 980-0155

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

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

• Walberto Cantu, DDS

  • Dentist
  • West Richland, WA
  • NPI 1346667292
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1508457110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 KENNEDY RD STE 1",
            "city": "WEST RICHLAND",
            "state": "WA",
            "postal_code": "993537353",
            "telephone_number": "509-980-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 KENNEDY RD STE 1",
            "city": "WEST RICHLAND",
            "state": "WA",
            "postal_code": "993537353",
            "telephone_number": "509-980-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALBERTO CANTU DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "CANTU",
        "authorized_official_first_name": "WALBERTO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "509-980-0155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Vander Top
• Janessa Marie Vanderbloom, LMP
• Amy A Vanhollebeke
• Darlene Wagar
• Ryan Wahlin, DDS
• Rachelle Marie Ward, ED.S
• Dana Margaret Watts, RPH
• Riley Whipple
• Tammy Jo White, LMP
• Kristen A. Williams-Ellis, PHARMD

• General Practice Dentistry in West Richland, WA
• Providers in West Richland, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.