Michael McWalters, D.D.S., Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

44940 Issued in CA

Legal business name

MICHAEL MCWALTERS, D.D.S., INC.

Practice address

28401 Bradley Rd
Suite D
Menifee, CA 92586-3040

Phone

(951) 679-5384

NPI assigned

Jun 9, 2015

Last updated

Jun 9, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael McWalters, D.D.S.NPI 1285766618

Title

President

Phone

(951) 679-5384

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Christopher McWalters, D.D.S.

  • General Practice Dentistry
  • Menifee, CA
  • NPI 1285766618
  NPD (past) Authorized official
• Glenn A. Martin, D.D.S.

  • General Practice Dentistry
  • Sun City, CA
  • NPI 1154479699
  NPD (past)

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433808000000",
    "number": "1609257203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28401 BRADLEY RD",
            "address_2": "SUITE D",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925863040",
            "telephone_number": "951-679-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28401 BRADLEY RD",
            "address_2": "SUITE D",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925863040",
            "telephone_number": "951-679-5384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL MCWALTERS, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-09",
        "last_updated": "2015-06-09",
        "status": "A",
        "authorized_official_last_name": "MCWALTERS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-679-5384",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Menifee Laser Center, Inc. (Transformational Medicine)
• Menifee Post Acute LLC (Menifee Lakes Post Acute)
• Menifee Union Esd
• Menifee Valley Optometry PC
• Monica Meza
• Nicolas Jean Middleby
• Daniel Steven Miley, CMT
• Jalen Mills
• Hae Sung Min, PHARMD
• Mindful Visions

• General Practice Dentistry in Menifee, CA
• Providers in Menifee, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; 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.