NPIMap

Organization Active NPI

Jyron Walls ,DDS

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1609272319
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JYRON WALLS ,DDS
Practice address
4040 Airport Blvd
Houston, TX 77047-1158
Phone
(713) 738-1999
NPI assigned
Nov 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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

Authorized official

Name
Jyron Walls, DDSNPI 1497875256
Title
Owner
Phone
(713) 738-1999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X

Addresses

Primary practice location

4040 Airport Blvd
Houston, TX 77047-1158

Mailing address

4040 Airport Blvd
Houston, TX 77047-1158
Phone (713) 738-1999

Other names 1

  • Sunnyside Dental Other name

National Provider Directory

National Provider Directory

Locations

4040 Airport Blvd
Houston, TX 77047
Phone (713) 738-1999

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415232000000",
    "number": "1609272319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 AIRPORT BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770471158",
            "telephone_number": "713-738-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 AIRPORT BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770471158",
            "telephone_number": "713-738-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JYRON WALLS ,DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-06",
        "last_updated": "2014-11-06",
        "status": "A",
        "authorized_official_last_name": "WALLS",
        "authorized_official_first_name": "JYRON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-738-1999",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunnyside Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.