DR. NICHOLAS PATRICK WALL (NPI# 1225169154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225169154 |
| Entity Type | Individual |
| Full Name | DR. NICHOLAS PATRICK WALL |
| Credential | DDS |
| Practice Address |
3655 W Anthem Way Suite A-117 Anthem AZ 85086 |
| Practice Telephone | 6235515555 |
| Practice Fax Number | 6235511620 |
| Mailing Telephone | 6235515555 |
| Mailing Fax Number | 6235511620 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2008-08-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D12321 | MN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548530066 | Nicholas Wall | Chiropractor | 26343 Bernards Ln, Eastman, WI 54626-8158 | 2012-01-02 |
| Street Address |
3655 W ANTHEM WAY SUITE A-117 |
| City | ANTHEM |
| State | AZ |
| Zip Code | 85086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326045618 | Lawrence R Stern | Optometrist | 3655 W Anthem Way, Ste B149, Anthem, AZ 85086-0430 | 2005-07-01 |
| 1255883161 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 3655 W Anthem Way, Anthem, AZ 85086-0430 | 2016-10-26 |
| 1952782260 | Richard Hall II | Dietitian, Registered | 3655 W Anthem Way, A109-424, Anthem, AZ 85086-0430 | 2015-06-11 |
| 1073993093 | Mary Baron | Psychologist | 3655 W Anthem Way, 145, Anthem, AZ 85086-0430 | 2015-06-04 |
| 1215335989 | Arizona Medical & Injury, Pllc | Chiropractor | 3655 W Anthem Way, A109 Box 272, Anthem, AZ 85086-0430 | 2014-12-12 |
| 1053747220 | Arizona Surgical Pain Consultants Pllc | Pain Medicine | 3655 W Anthem Way, Suite A-109, Anthem, AZ 85086-0430 | 2013-09-19 |
| 1356687776 | Bn3 Dental Pllc | Dentist | 3655 W Anthem Way, A-117, Anthem, AZ 85086-0430 | 2012-12-13 |
| 1609153733 | Nisarg Sheth | Internal Medicine | 3655 W Anthem Way, Suite A109 Pmb 313, Anthem, AZ 85086 | 2011-11-03 |
| 1215221940 | Dustin Ray Everett | Internal Medicine | 3655 W Anthem Way, Suite A109 Pmb 313, Anthem, AZ 85086-0430 | 2011-05-28 |
| 1134429731 | George Langford | Pharmacist | 3655 W Anthem Way, Anthem, AZ 85086-0430 | 2010-10-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760097703 | Cindy Ryanto | Pharmacist | 39508 W Daisy Mountain Dr, Phoenix, AZ 85086 | 2020-09-15 |
| 1912559857 | Cathey Michelle Allen | Massage Therapist | 39006 N 11th Ave, Phoenix, AZ 85086 | 2019-07-11 |
| 1174000871 | Anthem Eye Group Pllc | Optometrist | 4205 W Anthem Way #101, Anthem, AZ 85086 | 2018-07-25 |
| 1366982449 | Angela Ann Childs | Registered Nurse | 42104 N Venture Dr Ste D118, Anthem, AZ 85086 | 2017-03-08 |
| 1144772054 | Joe Bezerra | Specialist | 39818 N Bell Meadow Trl, Phoenix, AZ 85086 | 2016-10-26 |
| 1669821252 | Arizona Procedural Center | Clinic/Center | 3655 West Anthem Way, Suite 109 Box 272, Athem, AZ 85086 | 2016-06-06 |
| 1124499280 | Shane Carr | Physical Therapist | 39716 N 7th St, Phoenix, AZ 85086 | 2015-10-15 |
| 1790174167 | Kelly Christine Collins | Dermatology | 42211 N 41st Dr. #a109, Phoenix, AZ 85086 | 2015-01-22 |
| 1174953913 | Sung Ae Lee | Radiology | 820 W. Ravina Lane, Anthem, AZ 85086 | 2013-11-14 |
| 1881034080 | Bryan Michael Hays | Dentist | 40411 N Capra Way, Anthem, AZ 85086 | 2013-07-02 |
| Find all providers in zip 85086 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578195517 | Hdp North Valley Dental LLC | Dentist | 42104 N Venture Dr Ste 103, Anthem, AZ 85086-3823 | 2020-02-07 |
| 1528559861 | Connor Robert Stevenson | Dentist | 3668 W Anthem Way Ste 162, Anthem, AZ 85086-0468 | 2018-05-22 |
| 1508271040 | Maham Fayyaz Chaudhry | Dentist | 39504 N Daisy Mountain Dr Ste 106, Anthem, AZ 85086-6065 | 2014-06-23 |
| 1710132949 | Michelle E Choi | Dentist | 4122 W Innovative Dr, 101, Anthem, AZ 85086-3846 | 2008-12-02 |
| 1326299900 | Angela Chun Baskin | Dentist | 42201 N. 41st Dr, Ste #156, Anthem, AZ 85086 | 2008-10-01 |
| 1629277868 | Allen Ewell | Dentist | 42407 N Vision Way, Suite 101, Anthem, AZ 85086-1480 | 2007-07-17 |
| 1083824072 | Darren L Flowers Dmd Pllc | Dentist | 3618 W Anthem Way, D132, Anthem, AZ 85086-0419 | 2007-05-22 |
| 1114058542 | Darren L Flowers | Dentist | 3618 W Anthem Way Ste D132, Anthem, AZ 85086-0419 | 2007-03-08 |
| 1336229426 | Robert Bradley Kohl | Dentist | 41111 N Daisy Mountain Dr, 105, Anthem, AZ 85086-4957 | 2006-10-16 |
| 1699739987 | Arizona Heights Dentistry@anthem PC | Dentist | 42201 N 41 Dr, Ste 156, Anthem, AZ 85086 | 2006-04-13 |
| Find all providers in ANTHEM | ||||
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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.