DR. JIMMY LEE WARDLAW SR. (NPI# 1154691434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154691434 |
| Entity Type | Individual |
| Full Name | DR. JIMMY LEE WARDLAW SR. |
| Practice Address |
107 Scenic Dr Rockwall TX 75032-8615 |
| Practice Telephone | 9727718602 |
| Practice Fax Number | 9727718602 |
| Mailing Telephone | 9727718602 |
| Mailing Fax Number | 9727718602 |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2012-01-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 8100 | TX | Dental Providers |
| Street Address |
107 SCENIC DR |
| City | ROCKWALL |
| State | TX |
| Zip Code | 75032-8615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780291229 | Alexandra Messer | Nurse Practitioner | 6435 S Farm To Market, #201, Heath, TX 75032 | 2020-09-29 |
| 1720649338 | Randalls Food & Drugs Lp | Durable Medical Equipment & Medical Supplies | 551 Laurence Dr, Health, TX 75032 | 2019-06-25 |
| 1346725579 | Arc 32 Family Dentistry | Dentist | 4 Horizon Court Suite 400, Heath, TX 75032 | 2018-10-03 |
| 1275039257 | Karina Bartz Dds Pllc | Dentist | 110 Smirl Drive, Suite 101, Heath, TX 75032 | 2018-03-30 |
| 1861994337 | Lumin Health Physician Group, Pa | Pain Medicine | 4450 Tubbs Road, Rockwall, TX 75032 | 2018-03-01 |
| 1871002816 | Aurentz Family Dental | Clinic/Center | 3140 Horizon Rd Suite 103, Rockwall, TX 75032 | 2017-09-21 |
| 1902200199 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 4282 Ridge Rd, Heath, TX 75032 | 2014-10-16 |
| 1962744714 | Yongrui Luan | Pediatrics | 1005 W Ralph Hall Pkwy Ste 135, Rockwall, TX 75032 | 2013-03-20 |
| 1558608679 | Nikalaus Loyd Laymon | Massage Therapist | 860 Ralph Hall Pkwy, #46, Rockwall, TX 75032 | 2013-01-09 |
| 1932444999 | Chiro One Wellness Center of Rockwall Pllc | Chiropractor | 2881 Market Center Drive, Rockwall, TX 75032 | 2012-12-03 |
| Find all providers in zip 75032 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639730203 | Hong Bin Kim | Dentist | 1039 E I30 Ste 107, Rockwall, TX 75087-4912 | 2019-06-25 |
| 1487155743 | Ideal Dental of Rockwall Pllc | Dentist | 2268 N Lake Shore Dr Ste 104, Rockwall, TX 75087-0280 | 2018-02-22 |
| 1720537434 | Marisa Ann Zitterich | Dentist | 1020 W Ralph Hall Pkwy, Ste 101, Rockwall, TX 75032-8710 | 2016-09-23 |
| 1306297320 | Logan Callier | Dentist | 194 Cody Pl, Rockwall, TX 75087-2280 | 2016-06-30 |
| 1679929863 | Shilpa Patel | Dentist | 2306 Greencrest Bulevard, Rockwall, TX 75087-0000 | 2016-05-06 |
| 1700251758 | M Courtin Floss Pllc | Dentist | 991 E Interstate 30 Unit 103, Rockwall, TX 75087-4824 | 2015-12-02 |
| 1558746446 | Nathan Alan Stewart | Dentist | 7150 Hunt Ln, Rockwall, TX 75087-7011 | 2015-07-21 |
| 1578907499 | Sandra Ross | Dentist | 5104 Yacht Club Dr, Rockwall, TX 75032-8457 | 2013-04-22 |
| 1518232800 | Richard L. Lepard Dds, PC | Dentist | 3023 E I30 Ste 9, Rockwall, TX 75087-9707 | 2012-03-20 |
| 1578837837 | Draak Karras Davis | Dentist | 1039 E Interstate 30, Suite 107, Rockwall, TX 75087-4899 | 2012-03-05 |
| Find all providers in ROCKWALL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.