DR. DONNA CARROLL WALLS (NPI# 1730117425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730117425 |
| Entity Type | Individual |
| Full Name | DR. DONNA CARROLL WALLS |
| Credential | D.D.S. |
| Practice Address |
1310 24th Ave S Nashville TN 37212-2637 |
| Practice Telephone | 6153275321 |
| Practice Fax Number | 6153216339 |
| Mailing Telephone | 6153275321 |
| Mailing Fax Number | 6153216339 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
8004 | TN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700260536 | Donna Walls | Counselor | 208 Lincoln Way, Dixon, IL 61021-2019 | 2015-07-10 |
| 1902890916 | Donna Jo Walls | Occupational Therapist | 4546 S 14th St, Abilene, TX 79605-4737 | 2005-09-06 |
| Street Address |
1310 24TH AVE S |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37212-2637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851384473 | Timothy James Hornyak | Physician Assistant | 1310 24th Ave S, Nashville, TN 37212-2637 | 2005-08-30 |
| 1326652827 | Laura Mekjian | Nurse Practitioner | 1310 24th Ave S, Nashville, TN 37212-2637 | 2020-09-02 |
| 1215547302 | Azur Eckley | Pharmacist | 1310 24th Ave S, Nashville, TN 37212-2637 | 2020-08-04 |
| 1851919153 | Bianca Burnette Creith | Pharmacist | 1310 24th Ave S, Nashville, TN 37212-2637 | 2020-07-13 |
| 1124646526 | Gabrielle Givens | Pharmacist | 1310 24th Ave S, Nashville, TN 37212-2637 | 2020-07-12 |
| 1730706342 | Lauren Danae Bell | Pharmacist | 1310 24th Ave S, Nashville, TN 37212-2637 | 2020-06-30 |
| 1184241796 | Amanda Searls | Pharmacist | 1310 24th Ave S, Nashville, TN 37212-2637 | 2020-06-30 |
| 1689291296 | Kyle Owens | Pharmacist | 1310 24th Ave S, Nashville, TN 37212-2637 | 2020-06-30 |
| 1033736640 | Jeewar Kokoy | Pharmacist | 1310 24th Ave S, Nashville, TN 37212-2637 | 2020-06-30 |
| 1013530468 | Jennifer Leigh Egan | Social Worker | 1310 24th Ave S, Nashville, TN 37212-2637 | 2020-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063063204 | Nichole Sherwood | Pharmacist | 1314 24th Avenue S, Nashville, TN 37212 | 2019-09-27 |
| 1710460795 | Samantha Catherine Beretta | Counselor | 1710 17th Ave S, Nashville, TN 37212 | 2018-09-14 |
| 1417482449 | Elise Stephenson Scott | Student in an Organized Health Care Education/Training Program | 1601 21st Avenue South, Room 3106, Nashville, TN 37212 | 2017-04-27 |
| 1851848410 | Tracy Wehby | Nurse Practitioner | 2323 21st Ave S 3rd Floor, Nashville, TN 37212 | 2016-09-01 |
| 1821544578 | Lisa Malone | Acupuncturist | 1615 Horton Ave, Nashville, TN 37212 | 2016-08-31 |
| 1568836518 | Anna Ezell | Social Worker | 1414 17th Ave S, Nashville, TN 37212 | 2015-11-13 |
| 1427437789 | Ryan Castoro | Physical Medicine & Rehabilitation | 2201 Childrens Way Blvd., Suite 1318, Nashville, TN 37212 | 2015-05-20 |
| 1730567900 | Khushbu Shah | Student in an Organized Health Care Education/Training Program | 1601 23rd Ave S Rm 3106, Nashville, TN 37212 | 2015-05-08 |
| 1295160760 | Jacqueline Klaver | Clinical Neuropsychologist | 2200 21st Ave S Ste 300, Nashville, TN 37212 | 2013-09-03 |
| 1992145577 | Leslie Walls Binford | Nurse Practitioner | 2021 21st Ave S Ste 410, Nashville, TN 37212 | 2013-06-27 |
| Find all providers in zip 37212 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396199055 | Daniel Coke | Dentist | 1301 Medical Center Dr # 1601, Nashville, TN 37232-0028 | 2016-04-19 |
| 1073910725 | Nashville Oral Facial Surgery, Pllc | Dentist | 2400 Patterson St Ste 316, Nashville, TN 37203-6510 | 2014-11-24 |
| 1013200054 | Ryan Fitzgerald Thomas | Dentist | 5802 Nolensville Pike Ste 103, Nashville, TN 37211-6540 | 2011-05-24 |
| 1497084057 | Kendall M Sims | Dentist | 1829 Jo Johnston Ave, Nashville, TN 37203-2870 | 2009-12-10 |
| 1013100551 | Matthew Mizukawa | Dentist | 1623 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2007-08-18 |
| 1770606014 | Cooper Oral & Maxillofacial Surgery, PC | Dentist | 207 Twenty Third Avenue North, Nashville, TN 37203-1501 | 2007-04-10 |
| 1447317953 | Robin Ricardo Daniel | Dentist | 1829 Jo Johnston Avenue, Nashville, TN 37203-2120 | 2007-01-03 |
| 1598830770 | Christian Clarence Bennerman | Dentist | 2653 Lakevilla Dr, Nashville, TN 37217-3836 | 2006-11-22 |
| 1477635324 | Oral & Facial Surgery Group PC | Dentist | 300 20th Ave N Ste 606, Nashville, TN 37203-5606 | 2006-10-19 |
| 1639263783 | Harry Russell Mack Jr. | Dentist | 5802 Nolensville Pike, Suite #103, Nashville, TN 37211-6520 | 2006-10-03 |
| Find all providers in NASHVILLE | ||||
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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.