NPIMap

Organization Active NPI

Christine R Wall DDS and Gregory J Wall DDS LTD

  • General Practice Dentistry
  • Washington Court House, OH
National Provider Identifier
1730302480
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21207 Issued in OH
Legal business name
CHRISTINE R WALL DDS AND GREGORY J WALL DDS LTD
Practice address
211 Glenn Avenue
Washington Court House, OH 43160
Phone
(740) 335-7905
Fax
(740) 333-7817
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Dr. Gregory John Wall, DDSNPI 1689879827
Title
Partner
Phone
(740) 335-7905

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 21207 OH Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 21206 OH

Addresses

Primary practice location

211 Glenn Avenue
Washington Court House, OH 43160

Mailing address

211 Glenn Avenue
Washington Court House, OH 43160
Phone (740) 335-7905

National Provider Directory

National Provider Directory

Locations

211 S Glenn Ave
Washington Court House, OH 43160
Phone (740) 335-7905

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1730302480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 GLENN AVENUE",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "43160",
            "telephone_number": "740-335-7905",
            "fax_number": "740-333-7817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 GLENN AVENUE",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "43160",
            "telephone_number": "740-335-7905",
            "fax_number": "740-333-7817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINE R WALL DDS AND GREGORY J WALL DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "740-335-7905",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "21207",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "21206",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington Court House, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.