Elizabeth Robyn Wallmann, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D008395 Issued in AZ

Practice address

5601 W Eugie Ave Ste 206
Glendale, AZ 85304-1258

Phone

(623) 299-8799

NPI assigned

Jun 17, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dentist

Education

The Dental School at University of Texas HSC at San Antonio, 2011

Medicare assignment

May accept Medicare assignment

Group practices

Goto SleepGroup PAC ID 8527324615, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gotosleepcenter.elizabethwallmann@143430.advancedmd-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Goto Sleep

  • General Practice Dentistry
  • Glendale, AZ
  • NPI 1083141329
  Medicare reassignment Care Compare group NPD
• Goto Sleep

  • General Practice Dentistry
  • Mesa, AZ
  • NPI 1316602527
  NPD
• Dani Dentistry, PLLC

  dba Centre for Progressive Dentistry

  • Dental Clinic/Center
  • Scottsdale, AZ
  • NPI 1487337358
  NPD (past)
• Total Freedom Dental Implant Center

  • Dentist
  • Scottsdale, AZ
  • NPI 1922303569
  NPD (past)

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

{
    "created_epoch": "1339891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1851654750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20211 N 30TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504714",
            "telephone_number": "801-592-1857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 W EUGIE AVE STE 206",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041258",
            "telephone_number": "623-299-8799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9002 E Desert Cove Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852606275",
            "country_code": "US",
            "telephone_number": "480-451-5888",
            "fax_number": "480-451-9378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALLMANN",
        "first_name": "ELIZABETH",
        "middle_name": "ROBYN",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-17",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D008395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Walla, RBT
• Dustin Wade Wallace, LCSW
• Edward Wallace, M.D.
• Mike Thomas Wallace, L.P.C.
• Laura Marie Waller, MA.,SLT,M-ED
• Walmart Inc. (Walmart Pharmacy 10-5124)
• Walmart Inc. (Walmart Pharmacy 10-3315)
• Walmart Inc. (WalMart Pharmacy 10-3844)
• Walmart Inc. (Walmart Pharmacy 10-3845)
• Walmart Inc. (Walmart Pharmacy 10-3241)

• General Practice Dentistry in Glendale, AZ
• Providers in Glendale, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.