Walter Anthony Formby, DDS MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

16050 Issued in TX

Practice address

9826 Lakeview Pkwy
Rowlett, TX 75088-4549

Phone

(972) 475-9660

Fax

(972) 463-0018

NPI assigned

Mar 21, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Ryan Allo, D.D.S., M.S., PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Rowlett, TX
  • NPI 1043027972
  NPD (past)

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922124338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9826 LAKEVIEW PKWY",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750884549",
            "telephone_number": "972-475-9660",
            "fax_number": "972-463-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9826 LAKEVIEW PKWY",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750884549",
            "telephone_number": "972-475-9660",
            "fax_number": "972-463-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORMBY",
        "first_name": "WALTER",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DDS MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "16050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Ethan Floyd
• Jennifer Folsom
• Samantha R Fonseca
• Marina Ford
• Forever Green Dental PLLC
• Fortress Emergency Physicians, PPLC
• Barbara K Fowler, D.C.
• James Daniel Fowler, DC
• Allison Nicole Frando, BCBA
• Carolyn Frankowski, PT

• Orthodontics and Dentofacial Orthopedics Dentistry in Rowlett, TX
• Providers in Rowlett, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.