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MR. CARL STEPHEN WALLIN D.D.S.
NPI 1215996087
Dentist in Glenwood, MN

Active since March 21, 2006Opted out of Medicare · through May 13, 2027
101 1ST AVE SW, GLENWOOD, MN 56334(320) 634-4543(320) 634-4544 Get Directions Write a Review

NPPES record last updated: January 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Carl Stephen Wallin D.d.s. NPPES

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

MR. CARL STEPHEN WALLIN D.D.S. (NPI 1215996087) is an individual dentist in Glenwood, Minnesota, licensed in Minnesota (D12086) and active in the NPI registry since March 2006. He has opted out of Medicare through May 13, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1215996087
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMR. CARL STEPHEN WALLINCredential: D.D.S.
Location Address101 1ST AVE SWGlenwood, MN 56334-1503
Mailing Address101 1st Ave Sw, Po Box 174Glenwood, MN 56334-1503 · (320) 634-4543 · Fax (320) 634-4544
Phone(320) 634-4543
Fax(320) 634-4544
Sole ProprietorNo
Enumeration DateMarch 21, 2006
Last NPPES UpdateJanuary 27, 2023
NPPES CertifiedJanuary 27, 2023
✔ NPI 1215996087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MN · D12086
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.
101 1ST AVE SW, Glenwood, MN 56334
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Mr. Carl Stephen Wallin D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 13, 2015 through May 13, 2027.

Opt-Out Effective DateMay 13, 2015
Opt-Out In Effect ThroughMay 13, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56334 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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 Carl Wallin's NPI number?

The NPI number for Carl Wallin is 1215996087. It was assigned to this individual provider in the NPPES registry on March 21, 2006.

Where is Carl Wallin located?

Carl Wallin practices at 101 1st Ave SW, Glenwood, MN 56334. The listed phone number is (320) 634-4543.

What is Carl Wallin's specialty?

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

Is Carl Wallin enrolled in Medicare?

No. Carl Wallin has opted out of Medicare through May 13, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Carl Wallin accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental and 1 other insurer list Carl Wallin 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 Carl Wallin was last updated on January 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.