DR. JOHN B WALLSTROM (NPI# 1245359413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245359413 |
| Entity Type | Individual |
| Full Name | DR. JOHN B WALLSTROM |
| Credential | DDS |
| Practice Address |
1340 8th St Ne #102 Auburn WA 98002-4700 |
| Practice Telephone | 2539390055 |
| Mailing Telephone | 2539390055 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
DE6558 | WA | Dental Providers |
| Street Address |
1340 8TH ST NE #102 |
| City | AUBURN |
| State | WA |
| Zip Code | 98002-4700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568411171 | Erik Anthony Feider | Dentist | 1340 8th St Ne, Suite 101, Auburn, WA 98002-4700 | 2006-05-09 |
| 1093832800 | Robert C. S. Woo | Dentist | 1340 8th St Ne, Suite 101, Auburn, WA 98002-4700 | 2007-03-25 |
| 1750446472 | Robert C.s. Woo, D.d.s., P.s. | Dentist | 1340 8th St Ne, Suite 101, Auburn, WA 98002-4700 | 2006-12-22 |
| 1003989955 | Dennis Lee Meidinger | Dentist | 1340 8th St Ne, Suite 102, Auburn, WA 98002-4700 | 2006-11-16 |
| 1366556938 | Marie A Durflinger | Dentist | 1340 8th St Ne, Suite 103, Auburn, WA 98002-4700 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336756451 | Natalia Marquez Avalos | Interpreter | 1001 37th St Se, Apt 2, Auburn, WA 98002 | 2020-09-24 |
| 1871065607 | Carrie Ann Sasser | Registered Nurse | 1005 37th Street Se, Auburn, WA 98002 | 2018-12-18 |
| 1730658881 | Nataliya Guga | Physical Therapy Assistant | 1323 17th St Se Apt A, Auburn, WA 98002 | 2018-11-19 |
| 1952876294 | Modeline Jules | Nurse Practitioner | 125 3rd St Ne Ste 403, Auburn, WA 98002 | 2018-10-12 |
| 1679055941 | Stephanie Storm Lariccia | Social Worker | 1000 Auburn Way S., Auburn, WA 98002 | 2018-09-04 |
| 1104330349 | North Auburn Health, LLC | Skilled Nursing Facility | 2830 I Street Ne, Auburn, WA 98002 | 2017-11-27 |
| 1265950554 | Allison Ortwein | Occupational Therapist | 2830 I St. Ne, Auburn, WA 98002 | 2017-09-06 |
| 1184171167 | Emily Faber | Counselor | 505 29th St, Auburn, WA 98002 | 2016-09-07 |
| 1255887907 | Elaine Priscilla Lucas | Counselor | 29th St Se Chartley House, 505, Auburn, WA 98002 | 2016-08-31 |
| 1871955823 | Melissa Mae Gustafson | Massage Therapist | 4220 A. St. Se, Suite 103, Auburn, WA 98002 | 2016-03-28 |
| Find all providers in zip 98002 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104348739 | Roshanak Baghai, Pllc | Dentist | 1340 8th St Ne Ste 102, Auburn, WA 98002-4700 | 2017-07-14 |
| 1497945570 | Gary Alan Wolanek | Dentist | 999 Drew Ln, Auburn, AL 36830-4301 | 2007-07-26 |
| 1588791370 | Paul Robert Bianchi | Dentist | 12050 Enterprise Dr, Auburn, CA 95603-3730 | 2007-02-27 |
| 1306913397 | Donald Nuwey | Dentist | 602 M St Ne, Auburn, WA 98002-4506 | 2006-11-29 |
| 1093823841 | Michelle L Mazur-kary | Dentist | 219 Mount Auburn Ave, Ste 1, Auburn, ME 04210 | 2006-08-29 |
| 1114129756 | Central Maine Endodontics | Dentist | 219 Mount Auburn Ave, Auburn, ME 04210 | 2007-06-05 |
| 1003989955 | Dennis Lee Meidinger | Dentist | 1340 8th St Ne, Suite 102, Auburn, WA 98002-4700 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801403936 | Olsson & Niazi Pllc | Dentist | 3212 Nw Byron St Ste 108, Silverdale, WA 98383-9154 | 2020-09-23 |
| 1003432709 | Ralph Donald Hawkins | Dentist | 14921 182nd Ave E, Bonney Lake, WA 98391-8240 | 2020-06-18 |
| 1326695438 | M Shoaib Haider Siddiqui | Dentist | Issaquah Modern Dentistry, 1416 Highlands Drie Ne, Suite 120, Issaquah, WA 98029 | 2019-08-22 |
| 1558854844 | Hintz, Olaru, & Penberthy, Dds, Pllc | Dentist | 823 W 7th Ave Ste 202, Spokane, WA 99204-2850 | 2018-06-11 |
| 1316447758 | 3d Endodontics | Dentist | 451 Duvall Ave Ne Ste 120, Renton, WA 98059-4675 | 2018-02-12 |
| 1780101113 | Elena Andronova | Dentist | 1200 116th Ave Ne Ste G1, Bellevue, WA 98004-3802 | 2017-08-25 |
| 1679099246 | Randy L Ball Pllc | Dentist | 336 228th Ave Ne Ste 201, Sammamish, WA 98074-7290 | 2017-08-16 |
| 1699219709 | Tanaya Kumar | Dentist | 4901 Point Fosdick Dr. Nw Street 300, Gig Harbor, WA 98335 | 2016-12-08 |
| 1871042002 | Richard Simcock Dds, Ps | Dentist | 130 S 15th St Suite 101, Mount Vernon, WA 98274 | 2016-09-29 |
| 1316494537 | Dr. Timothy L Sweatman Dds Ps | Dentist | 775 E Holland Ave Ste 202, Spokane, WA 99218-5016 | 2016-09-06 |
| Find all providers with the same taxonomy | ||||
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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.