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DR. CHARLES E WALLACE DDS
NPI 1063584746
Dentist - General Practice in Seattle, WA

Active since November 15, 2006PECOS Enrolled
3221 EASTLAKE AVE E STE 130, SEATTLE, WA 98102(206) 633-5100(206) 633-3667 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Charles E Wallace Dds NPPES

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

DR. CHARLES E WALLACE DDS (NPI 1063584746) is an individual general practice provider in Seattle, Washington, licensed in Washington (5882) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063584746
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. CHARLES E WALLACECredential: DDS
Location Address3221 EASTLAKE AVE E STE 130Seattle, WA 98102-7125
Mailing Address3221 Eastlake Ave E Ste 130Seattle, WA 98102-7125 · (206) 633-5100 · Fax (206) 633-3667
Phone(206) 633-5100
Fax(206) 633-3667
Sole ProprietorNo
Enumeration DateNovember 15, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1063584746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WA · 5882
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

3221 EASTLAKE AVE E STE 130, Seattle, WA 98102
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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. Charles E Wallace 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 98102 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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 2

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

DR. PAMELA SOLHAUG DDS
Dentist (General Practice)
3221 EASTLAKE AVE E STE 130
SEATTLE, WA 98102
King County (206) 633-5100
DR. CHARLES WALLACE, DDS, PS
Dentist (General Practice)
3221 EASTLAKE AVE E STE 130
SEATTLE, WA 98102
King County (206) 633-5100

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 Charles Wallace's NPI number?

The NPI number for Charles Wallace is 1063584746. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Where is Charles Wallace located?

Charles Wallace practices at 3221 Eastlake Ave E Ste 130, Seattle, WA 98102. The listed phone number is (206) 633-5100.

What is Charles Wallace's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Charles Wallace enrolled in Medicare?

Yes. Charles Wallace is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charles Wallace was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.