Walls Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

WALLS FAMILY DENTISTRY

Practice address

413 E Erie St
Missouri Valley, IA 51555-1644

Phone

(712) 642-3671

Fax

(712) 642-4155

NPI assigned

Aug 16, 2018

Last updated

Aug 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeff Walls, DDS

Title

Owner

Phone

(712) 642-3671

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alexander Walls, DMD

  • General Practice Dentistry
  • Missouri Valley, IA
  • NPI 1932621737
  NPD (past)
• Jeffrey L Walls, D.D.S.

  • General Practice Dentistry
  • Missouri Valley, IA
  • NPI 1275682072
  NPD (past)

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534377600000",
    "number": "1922588250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 E ERIE ST",
            "city": "MISSOURI VALLEY",
            "state": "IA",
            "postal_code": "515551644",
            "telephone_number": "712-642-3671",
            "fax_number": "712-642-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 E ERIE ST",
            "city": "MISSOURI VALLEY",
            "state": "IA",
            "postal_code": "515551644",
            "telephone_number": "712-642-3671",
            "fax_number": "712-642-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLS FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-16",
        "last_updated": "2018-08-16",
        "status": "A",
        "authorized_official_last_name": "WALLS",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-642-3671",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Straight
• Diane Ardell Strong, RN,CDCES
• Swfac PLC (Southwest Foot and Ankle Center)
• Vision Care Clinic
• Vision Care Clinic PC
• Alexander Walls, DMD
• Jeffrey L Walls, D.D.S.
• Anna Jean Ward, PT
• Talia Witherspoon
• Insook Patty Yang, D.D.S.

• General Practice Dentistry in Missouri Valley, IA
• Providers in Missouri Valley, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.