DR. SCOTT ALAN WALLACE (NPI# 1174645170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174645170 |
| Entity Type | Individual |
| Full Name | DR. SCOTT ALAN WALLACE |
| Credential | DDS |
| Practice Address |
4801 Wilson Rd Suite B Bakersfield CA 93309-4703 |
| Practice Telephone | 6618345005 |
| Mailing Telephone | 6618345005 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 38147 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275809899 | Scott Andrew Wallace | Student in an Organized Health Care Education/Training Program | Navy Medicine Support Command Attn: Med Staff Services, Bldg H 2005 Knight Lane, Jacksonville, FL 32212-0140 | 2012-03-28 |
| 1184996399 | Scott D Wallace | Social Worker | 63 Glenwood St, Lowell, MA 01852-3007 | 2012-02-02 |
| 1629139563 | Scott Matthew Wallace | Chiropractor | 8960 W Cheyenne Ave, Suite 110, Las Vegas, NV 89129-8929 | 2006-12-13 |
| 1770655342 | Scott G Wallace | Chiropractor | 2515 Crosby Ave, Klamath Falls, OR 97603-4553 | 2006-11-15 |
| 1558381822 | Scott Christopher Wallace | Anesthesiology | Po Box 112, Muncie, IN 47308-0112 | 2006-07-20 |
| 1831611839 | Scott Christopher Wallace | Nurse Practitioner | 1900 S Main St, Findlay, OH 45840-1214 | 2017-07-11 |
| 1104359975 | Scott Robert Wallace | Psychiatry & Neurology | 103 N Loop 499, Harlingen, TX 78550-2557 | 2017-04-07 |
| 1922441880 | Scott Michael Wallace | Pediatrics | 75 Pringle Way, Ste 300, Reno, NV 89502-1464 | 2013-04-10 |
| 1134414220 | Scott Eric Wallace | Pharmacist | 1214 N Market Blvd, Suite C, Sacramento, CA 95834-2931 | 2011-06-16 |
| 1568755114 | Scott Wallace | Technician, Other | 4801 Reading St, Dallas, TX 75247-6716 | 2011-05-16 |
| Street Address |
4801 WILSON RD SUITE B |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93309-4703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710905815 | Randy J Jelmini | Dentist | 4801 Wilson Rd, Suite C, Bakersfield, CA 93309-4703 | 2006-07-17 |
| 1811431570 | Robert Manuel | Hearing Instrument Specialist | 4801 Wilson Rd, A, Bakersfield, CA 93309-4700 | 2016-12-14 |
| 1336363340 | Delamater Beltone Heariing Aid Center | Audiologist-Hearing Aid Fitter | 4801 Wilson Rd, Suite A, Bakersfield, CA 93309-4703 | 2007-04-12 |
| 1932263324 | Mary Ann Manuel | Audiologist-Hearing Aid Fitter | 4801 Wilson Rd, Suite A, Bakersfield, CA 93309 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235760042 | Jovana Calvillo | Counselor | 5959 Truxtun Ave # 100, Bakersfield, CA 93309 | 2020-01-30 |
| 1972146090 | Lauryn A Cooper | Physician Assistant | 5060 California Ave., Suite 620, Bakersfield, CA 93309 | 2019-10-21 |
| 1164906814 | Emergency Physicians Urgent Care Inc | Clinic/Center | 212 Coffee Road, Bakersfield, CA 93309 | 2018-09-19 |
| 1497258487 | Emerald Family Medical Group Inc | Clinic/Center | 212 Coffee Rd, Bakersfield, CA 93309 | 2018-03-15 |
| 1508368069 | Outpatient Surgery Center LLC | Podiatrist | 5000 Commerce Drive, Suite 203, Bakersfield, CA 93309 | 2018-03-01 |
| 1114431012 | Milka Lara | Marriage & Family Therapist | 3628 Stockdale Hwm, Bakersfield, CA 93309 | 2017-11-30 |
| 1598275661 | Viviana Janet Rojas | Case Manager/Care Coordinator | 1521 Stockdale Hwy, Ste 150, Bakersfield, CA 93309 | 2017-10-03 |
| 1821512963 | Robert A. Spack | Family Medicine | 5129 Ming Avenue, Bakersfield, CA 93309 | 2017-07-31 |
| 1982125431 | Darlene Porter | Home Health Aide | 3900 Adair Ct, Bakersfield, CA 93309 | 2017-07-05 |
| 1700316783 | Ana Isela An | Social Worker | 5121 Stockdale Hwy # Hwym150a, Bakersfield, CA 93309 | 2017-06-13 |
| Find all providers in zip 93309 | ||||
| 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 |
|---|---|---|---|---|
| 1063026888 | Dominic Gordon Carlson | Dentist | 1851 Oak St Ste A, Bakersfield, CA 93301-3005 | 2020-08-31 |
| 1295353654 | Karantej Singh Kohli | Dentist | 8200 Stockdale Hwy Ste M9, Bakersfield, CA 93311-1029 | 2020-07-10 |
| 1154978013 | Bl Le Bui | Dentist | 3015 Calloway Dr Unit 4, Bakersfield, CA 93312-2658 | 2019-08-24 |
| 1750851002 | Michael Berry | Dentist | 500 Old River Rd Ste 255, Bakersfield, CA 93311-9509 | 2018-11-29 |
| 1245713197 | Brandon Mccullough | Dentist | 11120 Stockdale Hwy, #103, Bakersfield, CA 93311 | 2018-09-06 |
| 1407380207 | Nirup Reddy and Bortay Dehnadi D.d.s, Inc. | Dentist | 1507 Panama Ln Ste 102, Bakersfield, CA 93307-5682 | 2017-04-18 |
| 1427424563 | Jieun Park | Dentist | 4201 Jewetta Ave. A5, Bakersfield, CA 93312 | 2015-08-12 |
| 1134505498 | Arbi Ismailyan | Dentist | 3612 Coffee Rd Ste A, Bakersfield, CA 93308-5084 | 2015-08-09 |
| 1790179703 | Marvizi Dental Group | Dentist | 3720 Gosford Rd, Suite C, Bakersfield, CA 93309-7695 | 2015-03-27 |
| 1689083933 | Eric Dugum | Dentist | 6101 Sky Ranch Ave, Bakersfield, CA 93306-2452 | 2014-08-11 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93309 |
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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.