DR. ANDREW WALLS DDS
NPI 1043216567
Dentist in Lakeview, OR

Active since June 21, 2005PECOS Enrolled
628 N 1ST ST, LAKEVIEW, OR 97630(888) 468-0022(541) 504-3907 Get Directions Write a Review

NPPES record last updated: January 23, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Andrew Walls Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANDREW WALLS DDS (NPI 1043216567) is an individual dentist in Lakeview, Oregon, licensed in Oregon (D7828) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043216567
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. ANDREW WALLSCredential: DDS
Location Address628 N 1ST STLakeview, OR 97630-1506
Mailing Address442 Sw Umatilla Ave, Suite 200Redmond, OR 97756-7039 · (541) 504-3900 · Fax (541) 504-3907
Fax(541) 504-3907
Sole ProprietorNo
Enumeration DateJune 21, 2005
Last NPPES UpdateJanuary 23, 2015
NPI 1043216567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses Licensed in OR · D7828 Licensed in OK · 5630
Definition

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.

628 N 1ST ST, Lakeview, OR 97630

Other Identifiers 1

Medicaid1305630OK

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Andrew Walls Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97630 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Technician, Other
628 N 1ST ST, STE C
LAKEVIEW, OR 97630
Optometrist
628 N 1ST ST, SUITE C
LAKEVIEW, OR 97630
Optometrist
628 N 1ST ST, STE C
LAKEVIEW, OR 97630
Dentist (General Practice)
628 N 1ST ST
LAKEVIEW, OR 97630

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Walls's NPI number?

The NPI number for Andrew Walls is 1043216567. It was assigned to this individual provider in the NPPES registry on June 21, 2005.

Where is Andrew Walls located?

Andrew Walls practices at 628 N 1st St, Lakeview, OR 97630. The listed phone number is (888) 468-0022.

What is Andrew Walls's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Andrew Walls enrolled in Medicare?

Yes. Andrew Walls is registered in the Medicare PECOS enrollment system.

What insurance does Andrew Walls accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 12 other insurers list Andrew Walls as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andrew Walls was last updated on January 23, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.