DR. TIMOTHY JASON WALL D.D.S.
NPI 1194938100
Dentist - General Practice in San Angelo, TX

Q: What is Timothy Wall's NPI number?

The NPI number for Timothy Wall is 1194938100. It was assigned to this individual provider in the NPPES registry on May 7, 2007.

Q: What is Timothy Wall'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 Timothy Wall was last updated on June 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 May 07, 2007PECOS Enrolled

4335 COLLEGE HILLS BLVD, SAN ANGELO, TX 76904(214) 226-3599 Get Directions Write a Review

NPPES record last updated: June 10, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Timothy Jason Wall D.d.s. NPPES

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

DR. TIMOTHY JASON WALL D.D.S. (NPI 1194938100) is an individual general practice provider in San Angelo, Texas, licensed in Texas (22745) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194938100

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. TIMOTHY JASON WALLCredential: D.D.S.

Location Address4335 COLLEGE HILLS BLVDSan Angelo, TX 76904-6919

Mailing Address4335 College Hills BlvdSan Angelo, TX 76904-6919 · (214) 226-3599

Phone(214) 226-3599

Sole ProprietorNo

Enumeration DateMay 7, 2007

Last NPPES UpdateJune 10, 2008

✔ NPI 1194938100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TX · 22745

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.

4335 COLLEGE HILLS BLVD, San Angelo, TX 76904

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Guardian.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. Timothy Jason Wall D.d.s. 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 76904 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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 10

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

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