Organization Active NPI

Walzem Associates PLLC

  • General Practice Dentistry
  • Windcrest, TX
National Provider Identifier
1831598739
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WALZEM ASSOCIATES PLLC
Practice address
5820 Walzem Rd
Windcrest, TX 78218-2109
Phone
(214) 493-1216
NPI assigned
Aug 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2014

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

Authorized official

Name
Peyman Monsef, DDS
Title
Managing Member
Phone
(818) 634-9909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

5820 Walzem Rd
Windcrest, TX 78218-2109

Mailing address

5820 Walzem Rd
Windcrest, TX 78218-2109

Other names 1

  • Camelot Dental Doing business as

National Provider Directory

National Provider Directory

Locations

5820 Walzem Rd
Windcrest, TX 78218
Phone (210) 375-3395

NPI Registry JSON

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409011200000",
    "number": "1831598739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 WALZEM RD",
            "city": "WINDCREST",
            "state": "TX",
            "postal_code": "782182109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 WALZEM RD",
            "city": "WINDCREST",
            "state": "TX",
            "postal_code": "782182109",
            "telephone_number": "214-493-1216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALZEM ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-15",
        "last_updated": "2014-08-26",
        "status": "A",
        "authorized_official_last_name": "MONSEF",
        "authorized_official_first_name": "PEYMAN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "818-634-9909",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camelot Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Windcrest, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.