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DR. TANYA C WALL DDS
NPI 1063528586
Dentist - Pediatric Dentistry in Jacksonville, FL

Active since August 21, 2006PECOS Enrolled
2255 DUNN AVE, BLDG. 700, JACKSONVILLE, FL 32218(904) 751-5126(904) 751-5146 Get Directions Write a Review

NPPES record last updated: January 8, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Tanya C Wall Dds NPPES

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

DR. TANYA C WALL DDS (NPI 1063528586) is an individual pediatric dentistry provider in Jacksonville, Florida, licensed in Florida (DN15601) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063528586
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. TANYA C WALLCredential: DDS
Location Address2255 DUNN AVE, BLDG. 700Jacksonville, FL 32218
Mailing AddressPo Box 26948Jacksonville, FL 32226 · (904) 751-5126 · Fax (904) 751-5146
Phone(904) 751-5126
Fax(904) 751-5146
Sole ProprietorNo
Enumeration DateAugust 21, 2006
Last NPPES UpdateJanuary 8, 2019
✔ NPI 1063528586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in FL · DN15601
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2255 DUNN AVE, Jacksonville, FL 32218
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Other Identifiers 2

Medicaid0758264000FL
Other70640FL · Adi Healthy Kids

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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. Tanya C Wall 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 32218 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 9

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

DR. CHRISTOPHER POLK DC
Chiropractor
2255 DUNN AVE
JACKSONVILLE, FL 32218
Duval County (904) 757-9101
LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC
Dermatology
2255 DUNN AVE
JACKSONVILLE, FL 32218
Duval County (904) 861-1904
MS. JANET M COLE RN, ARNP , DNC
Nurse Practitioner (Primary Care)
2255 DUNN AVE, BLDG 100, STE 102
JACKSONVILLE, FL 32218
Duval County (904) 224-1171
MRS. CHRISTINA CAROLYN GIULIANELLI CHRISTINA GIULIANELL
Physical Therapist
2255 DUNN AVE
JACKSONVILLE, FL 32218
Duval County (561) 629-2473
DR. JOSHUA DAVID MUFFETT D.C.
Chiropractor
2255 DUNN AVE
JACKSONVILLE, FL 32218
Duval County (904) 861-1900
DOROTHY WALBEY DPM PA
Podiatrist
2255 DUNN AVE
JACKSONVILLE, FL 32218
Duval County (904) 982-8841
BRANDY MCDANIEL D.P.T
Physical Therapist
2255 DUNN AVE
JACKSONVILLE, FL 32218
Duval County (904) 757-9119
DOROTHY WALBEY D.P.M.
Podiatrist
2255 DUNN AVE
JACKSONVILLE, FL 32218
Duval County (904) 982-8841

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 Tanya Wall's NPI number?

The NPI number for Tanya Wall is 1063528586. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Tanya Wall located?

Tanya Wall practices at 2255 Dunn Ave Bldg. 700, Jacksonville, FL 32218. The listed phone number is (904) 751-5126.

What is Tanya Wall's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Tanya Wall enrolled in Medicare?

Yes. Tanya Wall is registered in the Medicare PECOS enrollment system.

What insurance does Tanya Wall accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental and 8 other insurers list Tanya Wall 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 Tanya Wall was last updated on January 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.