DR. NICHOLAS PATRICK WALL DDS
NPI 1225169154
Dentist - General Practice in Anthem, AZ
About Dr. Nicholas Patrick Wall Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NICHOLAS PATRICK WALL DDS (NPI 1225169154) is an individual general practice provider in Anthem, Arizona, licensed in Minnesota (D12321) and active in the NPI registry since March 2007. He has opted out of Medicare through December 8, 2026 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
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.
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Nicholas Patrick Wall Dds 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 December 8, 2016 through December 8, 2026.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85086 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ANTHEM, AZ 85086
ANTHEM, AZ 85086
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 Nicholas Wall's NPI number?
The NPI number for Nicholas Wall is 1225169154. It was assigned to this individual provider in the NPPES registry on March 9, 2007.
Where is Nicholas Wall located?
Nicholas Wall practices at 3655 W Anthem Way Suite A-117, Anthem, AZ 85086. The listed phone number is (623) 551-5555.
What is Nicholas Wall's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Nicholas Wall enrolled in Medicare?
No. Nicholas Wall has opted out of Medicare through December 8, 2026. 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 Nicholas Wall accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Nicholas 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 Nicholas Wall was last updated on August 19, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.