Organization Active NPI

Ryan W. Walter D.M.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Phillipsburg, NJ
National Provider Identifier
1881144897
Registry record updated Oct 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
22DI02586504 Issued in NJ
Legal business name
RYAN W. WALTER D.M.D.
Doing business as
Marble Hill Orthodontics
Practice address
835 Belvidere Rd
Lower Level
Phillipsburg, NJ 08865-1384
Phone
(908) 859-4555
NPI assigned
Oct 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2016

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

Authorized official

Name
Dr. Ryan William Walter, D.M.D.
Title
Member
Phone
(201) 841-6159

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 22DI02586504 NJ Primary

Addresses

Primary practice location

835 Belvidere Rd
Lower Level
Phillipsburg, NJ 08865-1384

Mailing address

835 Belvidere Rd
Lower Level
Phillipsburg, NJ 08865-1384
Phone (908) 859-4555

Other names 1

  • Marble Hill Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

835 Belvidere Rd
Lowr
Phillipsburg, NJ 08865
Phone (908) 859-4555

NPI Registry JSON

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476316800000",
    "number": "1881144897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 BELVIDERE RD",
            "address_2": "LOWER LEVEL",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088651384",
            "telephone_number": "908-859-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 BELVIDERE RD",
            "address_2": "LOWER LEVEL",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088651384",
            "telephone_number": "908-859-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN W. WALTER D.M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-13",
        "last_updated": "2016-10-13",
        "status": "A",
        "authorized_official_last_name": "WALTER",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "201-841-6159",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "22DI02586504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marble Hill Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phillipsburg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; 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.