WAYNE CARROLL WALLACE DDS
NPI 1154460459
Dentist - General Practice in Cincinnati, OH

Q: What is Wayne Wallace's NPI number?

The NPI number for Wayne Wallace is 1154460459. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Q: What is Wayne Wallace's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Wayne Wallace was last updated on November 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since February 05, 2007PECOS Enrolled

3972 RED BANK RD, SUITE E, CINCINNATI, OH 45227(513) 561-9900(513) 561-9902 Get Directions Write a Review

NPPES record last updated: November 6, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Wayne Carroll Wallace Dds NPPES

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

WAYNE CARROLL WALLACE DDS (NPI 1154460459) is an individual general practice provider in Cincinnati, Ohio, licensed in Ohio (19098) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154460459

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameWAYNE CARROLL WALLACECredential: DDS

Location Address3972 RED BANK RD, SUITE ECincinnati, OH 45227-3425

Mailing Address3972 Red Bank Rd, Suite ECincinnati, OH 45227-3425 · (513) 561-9900 · Fax (513) 561-9902

Phone(513) 561-9900

Fax(513) 561-9902

Sole ProprietorNo

Enumeration DateFebruary 5, 2007

Last NPPES UpdateNovember 6, 2014

✔ NPI 1154460459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in OH · 19098

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.

3972 RED BANK RD, Cincinnati, OH 45227

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Other Identifiers 1

Medicaid0815854OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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)

Wayne Carroll 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 45227 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

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 Wayne Wallace's NPI number?

The NPI number for Wayne Wallace is 1154460459. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Where is Wayne Wallace located?

Wayne Wallace practices at 3972 Red Bank Rd Suite E, Cincinnati, OH 45227. The listed phone number is (513) 561-9900.

What is Wayne Wallace's specialty?

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

Is Wayne Wallace enrolled in Medicare?

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

What insurance does Wayne Wallace accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, BEST Life and Blue Cross and Blue Shield of Montana and 14 other insurers list Wayne Wallace 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 Wayne Wallace was last updated on November 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.