WALLA WALLA OMS, LLC
NPI 1417226283
Dentist - Oral and Maxillofacial Surgery in Walla Walla, WA
About Walla Walla Oms, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WALLA WALLA OMS, LLC (NPI 1417226283) is a healthcare organization registered as an oral and maxillofacial surgery in Walla Walla, Washington and active in the NPI registry since December 2011. The organization lists Antonio Caso, Senior Partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Walla Walla Oms, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Walla Walla Oms, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Walla Walla Oms, LLC's NPI number?
The NPI number for Walla Walla Oms, LLC is 1417226283. It was assigned to this organization in the NPPES registry on December 22, 2011.
Where is Walla Walla Oms, LLC located?
Walla Walla Oms, LLC is located at 312 S 3rd Ave, Walla Walla, WA 99362. The listed phone number is (509) 529-3760.
What is Walla Walla Oms, LLC's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is Walla Walla Oms, LLC enrolled in Medicare?
Yes. Walla Walla Oms, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Walla Walla Oms, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Oral Surgery, reassign their Medicare billing to Walla Walla Oms, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Walla Walla Oms, LLC was last updated on December 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Walla Walla Oms, Llc · NPI 1417226283
Oral and Maxillofacial Surgery organization in Walla Walla, Washington. Organization record, active in the CMS NPPES registry since December 22, 2011.
## Identity
- **NPI:** 1417226283 (Entity type: Organization)
- **Enumerated:** December 22, 2011
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **Organization subpart:** No
- **Authorized official:** Antonio Caso, SENIOR PARTNER
## Practice location
- **Address:** 312 S 3RD AVE, Walla Walla, WA 99362-3037
- **Phone:** (509) 529-3760
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Oral Surgery) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 22, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1417226283) · Data from the CMS NPPES public registry.