DR. KRAIG STEPHEN VANDEWALLE DDS, MS
NPI 1396710182
Dentist - General Practice in Jbsa Lackland, TX

Active since February 23, 2006
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236(210) 292-0760 Get Directions Write a Review

NPPES record last updated: January 27, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 27, 2021, Dec 23, 2019 (2 updates tracked since 2019).

About Dr. Kraig Stephen Vandewalle Dds, Ms NPPES

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

DR. KRAIG STEPHEN VANDEWALLE DDS, MS (NPI 1396710182) is an individual general practice provider in Jbsa Lackland, Texas, licensed in Texas (14137) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1396710182
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KRAIG STEPHEN VANDEWALLECredential: DDS, MS
Location Address1100 WILFORD HALL LOOP BLDG 4554Jbsa Lackland, TX 78236-5638
Mailing Address1615 Truemper StJbsa Lackland, TX 78236-5511
Sole ProprietorNo
Enumeration DateFebruary 23, 2006
Last NPPES UpdateJanuary 27, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2021
NPI 1396710182 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 · 14137
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.
1100 WILFORD HALL LOOP BLDG 4554, Jbsa Lackland, TX 78236

Other Providers at the Same Location NPPES 20

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

Anesthesiology
1100 WILFORD HALL LOOP BLDG 4554
LACKLAND AFB, TX 78236
Marriage & Family Therapist
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Internal Medicine
1100 WILFORD HALL LOOP BLDG 4554
LACKLAND AFB, TX 78236
Allergy & Immunology
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Radiology (Diagnostic Radiology)
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Pharmacist
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Chiropractor
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Optometrist
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236

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 Kraig Vandewalle's NPI number?

The NPI number for Kraig Vandewalle is 1396710182. It was assigned to this individual provider in the NPPES registry on February 23, 2006.

Where is Kraig Vandewalle located?

Kraig Vandewalle practices at 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236. The listed phone number is (210) 292-0760.

What is Kraig Vandewalle's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Kraig Vandewalle was last updated on January 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.