Walter J. Deck, D.M.D., P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0404321 Issued in NY

Legal business name

WALTER J. DECK, D.M.D., P.C.

Practice address

1625 State Route 332
Suite 1-a
Farmington, NY 14425-9601

Phone

(585) 398-3810

Fax

(585) 398-2413

NPI assigned

Dec 14, 2006

Last updated

Jan 30, 2012By 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. Walter James Deck, D.M.D.NPI 1982611661

Title

Owner

Phone

(585) 398-3810

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, and the practitioner matching its NPPES authorized official.

• Walter James Deck, DMD

  • Dentist
  • Farmington, NY
  • NPI 1982611661
  NPD (past) Authorized official

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1720140817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 STATE ROUTE 332",
            "address_2": "SUITE 1-A",
            "city": "FARMINGTON",
            "state": "NY",
            "postal_code": "144259601",
            "telephone_number": "585-398-3810",
            "fax_number": "585-398-2413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 STATE ROUTE 332",
            "address_2": "SUITE 1-A",
            "city": "FARMINGTON",
            "state": "NY",
            "postal_code": "144259601",
            "telephone_number": "585-398-3810",
            "fax_number": "585-398-2413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER J. DECK, D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "DECK",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-398-3810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "0404321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Susco, M.D.
• Eric James Szewczyk, PHARMD
• Michelle M Tucker
• Victor Association of Cultural and Performing Arts
• Farley Wagner, PT
• Melody L Waugh, LMSW
• Alissa L Waughtel
• Niki Kristine West, NP
• Joel A Yellin, MD
• Jim Carl Tamala Yu, PTA, PT

• General Practice Dentistry in Farmington, NY
• Providers in Farmington, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; 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.