Active NPI
Ryan W. Walter D.M.D.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Phillipsburg, NJ
National Provider Identifier
1881144897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 22DI02586504
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 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
National Provider Directory
National Provider DirectoryLocations
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.