Organization Active NPI

Steven R Walls, DMD a Professional Corporation

  • Dental Clinic/Center
  • El Dorado Hills, CA
National Provider Identifier
1871334458
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
STEVEN R WALLS, DMD A PROFESSIONAL CORPORATION
Doing business as
Golden Hills Family Dental
Practice address
1010 White Rock Rd Ste 500
El Dorado Hills, CA 95762-5627
Phone
(916) 939-0889
NPI assigned
Jun 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Authorized official

Name
Dr. Steven R Walls, DMDNPI 1750477501
Title
Owner/Ceo
Phone
(916) 939-0889

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1010 White Rock Rd Ste 500
El Dorado Hills, CA 95762-5627

Mailing address

6040 Bramblewood LN
Shingle Springs, CA 95682-9797
Phone (916) 939-0889

Other names 1

  • Golden Hills Family Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1717545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1871334458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 BRAMBLEWOOD LN",
            "city": "SHINGLE SPRINGS",
            "state": "CA",
            "postal_code": "956829797",
            "telephone_number": "916-939-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 WHITE ROCK RD STE 500",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957625627",
            "telephone_number": "916-939-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN R WALLS, DMD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-05",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "WALLS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "916-939-0889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Hills Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Dorado Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.