John James Walsh, DMD, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30-021154 Issued in OH

Legal business name

JOHN JAMES WALSH, DMD, LLC

Practice address

4664 Mahoning Ave NW
Warren, OH 44483-1419

Phone

(330) 847-8122

Fax

(330) 847-8122

NPI assigned

Mar 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John James Walsh Jr., DMD

Title

Owner

Phone

(330) 847-8122

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• John James Walsh, Jr., DMD

  • General Practice Dentistry
  • Warren, OH
  • NPI 1467655464
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396310400000",
    "number": "1568593192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4664 MAHONING AVE NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444831419",
            "telephone_number": "330-847-8122",
            "fax_number": "330-847-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4664 MAHONING AVE NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444831419",
            "telephone_number": "330-847-8122",
            "fax_number": "330-847-8122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN JAMES WALSH, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2014-04-01",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-847-8122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-021154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Warren, OH
• Providers in Warren, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; 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.