DR. NICHOLAS PATRICK WALL DDS
NPI 1225169154
Dentist - General Practice in Anthem, AZ

Active since March 09, 2007Opted out of Medicare · through Dec 8, 2026
3655 W ANTHEM WAY, SUITE A-117, ANTHEM, AZ 85086(623) 551-5555(623) 551-1620 Get Directions Write a Review

NPPES record last updated: August 19, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1225169154
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. NICHOLAS PATRICK WALLCredential: DDS
Location Address3655 W ANTHEM WAY, SUITE A-117Anthem, AZ 85086
Mailing Address3655 W Anthem Way, Suite A-117Anthem, AZ 85086 · (623) 551-5555 · Fax (623) 551-1620
Fax(623) 551-1620
Sole ProprietorYes
Enumeration DateMarch 9, 2007
Last NPPES UpdateAugust 19, 2008
NPI 1225169154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MN · D12321
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.

3655 W ANTHEM WAY, Anthem, AZ 85086

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.

Opt-Out Effective DateDecember 8, 2016
Opt-Out In Effect ThroughDecember 8, 2026Opt-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 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.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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 18

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

Pain Medicine (Pain Medicine)
3655 W ANTHEM WAY, SUITE A-109
ANTHEM, AZ 85086
Pharmacist
3655 W ANTHEM WAY
ANTHEM, AZ 85086
Psychologist
3655 W ANTHEM WAY, 145
ANTHEM, AZ 85086
Internal Medicine
3655 W ANTHEM WAY, STE A-109; PMB 313
ANTHEM, AZ 85086
Pharmacist
3655 W ANTHEM WAY
ANTHEM, AZ 85086
Pharmacist
3655 W ANTHEM WAY
ANTHEM, AZ 85086
Hospitalist
3655 W ANTHEM WAY, SUITE A109 PMB 313
ANTHEM, AZ 85086
Pain Medicine (Pain Medicine)
3655 W ANTHEM WAY, A109 BOX 272
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.