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DR. JARED S. WALLIS DDS
NPI 1396033494
Dentist in Las Cruces, NM

Active since July 11, 2011PECOS Enrolled
2540 N TELSHOR BLVD STE E, LAS CRUCES, NM 88011(575) 521-9375(575) 521-2637 Get Directions Write a Review

NPPES record last updated: February 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jared S. Wallis Dds NPPES

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

DR. JARED S. WALLIS DDS (NPI 1396033494) is an individual dentist in Las Cruces, New Mexico, licensed in New Mexico (3512) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396033494
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JARED S. WALLISCredential: DDS
Location Address2540 N TELSHOR BLVD STE ELas Cruces, NM 88011-8201
Mailing Address2540 N Telshor Blvd Ste ELas Cruces, NM 88011-8201 · (575) 521-9375 · Fax (575) 521-2637
Phone(575) 521-9375
Fax(575) 521-2637
Sole ProprietorNo
Enumeration DateJuly 11, 2011
Last NPPES UpdateFebruary 11, 2019
✔ NPI 1396033494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NM · 3512
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.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 3512 (NM)
2540 N TELSHOR BLVD STE E, Las Cruces, NM 88011
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana 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)

Dr. Jared S. Wallis 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 88011 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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

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

NORTHRISE DENTAL LLC
Dentist (General Practice)
2540 N TELSHOR BLVD STE E
LAS CRUCES, NM 88011
Doña Ana County (575) 521-9375

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 Jared Wallis's NPI number?

The NPI number for Jared Wallis is 1396033494. It was assigned to this individual provider in the NPPES registry on July 11, 2011.

Where is Jared Wallis located?

Jared Wallis practices at 2540 N Telshor Blvd Ste E, Las Cruces, NM 88011. The listed phone number is (575) 521-9375.

What is Jared Wallis's specialty?

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

Is Jared Wallis enrolled in Medicare?

Yes. Jared Wallis is registered in the Medicare PECOS enrollment system.

What insurance does Jared Wallis accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Jared Wallis 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 Jared Wallis was last updated on February 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.