Walls Family Dentistry, Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

OK5393 Issued in OK

Legal business name

WALLS FAMILY DENTISTRY, INC

Practice address

12627 S Highway 51
Coweta, OK 74429-6476

Phone

(918) 486-0039

Fax

(918) 486-0097

NPI assigned

May 15, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Walls, DDS

Title

President/Dentist

Phone

(918) 486-0039

Specialties & licenses 1

Addresses

Other names 1

• Matthew Walls, DDS Other name

Locations

Practitioners 1

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

• Braden Turner Merrill, DDS

  • Dentist
  • Coweta, OK
  • NPI 1770323578
  NPD (past)

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238371200000",
    "number": "1679740898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12627 S HIGHWAY 51",
            "city": "COWETA",
            "state": "OK",
            "postal_code": "744296476",
            "telephone_number": "918-486-0039",
            "fax_number": "918-486-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12627 S HIGHWAY 51",
            "city": "COWETA",
            "state": "OK",
            "postal_code": "744296476",
            "telephone_number": "918-486-0039",
            "fax_number": "918-486-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLS FAMILY DENTISTRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2009-03-30",
        "status": "A",
        "authorized_official_last_name": "WALLS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "918-486-0039",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OK",
            "license": "OK5393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Matthew Walls, DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rebecca Vieth, M.S., CCC-SLP
• Terence J Vincent, DPM
• Wal-Mart Stores East LP
• Walgreen Co
• Dennis Leo Wallis, DDS
• Matthew Walls, D.D.S.
• Way Maker Midwifery
• Laura West, DPT
• Delana Denise Westman, PHYSICAL THERAPIST
• Rick W Williams, MED, ED.S, ED. D

• Dental Clinic/Center in Coweta, OK
• Providers in Coweta, OK by specialty
• Dental Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; 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.