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DR. DOUGLAS R WALL D.D.S.
NPI 1467462002
Dentist in Long Beach, CA

Active since August 08, 2006PECOS Enrolled
5479 E ABBEYFIELD ST, #4, LONG BEACH, CA 90815(562) 597-1414(562) 498-6174 Get Directions Write a Review

NPPES record last updated: June 30, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Douglas R Wall D.d.s. NPPES

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

DR. DOUGLAS R WALL D.D.S. (NPI 1467462002) is an individual dentist in Long Beach, California, licensed in California (31417) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467462002
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. DOUGLAS R WALLCredential: D.D.S.
Location Address5479 E ABBEYFIELD ST, #4Long Beach, CA 90815-3050
Mailing Address5479 E Abbeyfield St, # 4Long Beach, CA 90815-3050 · (562) 597-1414 · Fax (562) 498-6174
Phone(562) 597-1414
Fax(562) 498-6174
Sole ProprietorNo
Enumeration DateAugust 8, 2006
Last NPPES UpdateJune 30, 2008
✔ NPI 1467462002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 31417
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.
5479 E ABBEYFIELD ST, Long Beach, CA 90815
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Other Identifiers 1

Medicare UPINT82741CA

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. Douglas R Wall D.d.s. 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 90815 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 5

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

SAMUEL G WEST D.C.
Chiropractor
5479 E ABBEYFIELD ST, 2
LONG BEACH, CA 90815
Los Angeles County (562) 498-6647
ABBEYFIELD PSYCHOTHERAPY INC
Psychologist (Clinical)
5479 E ABBEYFIELD ST, SUITE 3
LONG BEACH, CA 90815
Los Angeles County (562) 498-5900
SAMUEL G WEST A CHIROPRACTIC CORPORATION
Chiropractor
5479 E ABBEYFIELD ST, 2
LONG BEACH, CA 90815
Los Angeles County (562) 498-6647
KIMBERELY BEELI LCSW
Social Worker (Clinical)
5479 E ABBEYFIELD ST, SUITE 3
LONG BEACH, CA 90815
Los Angeles County (714) 396-0391
INGRID MCLANE
Dental Assistant
5479 E ABBEYFIELD ST
LONG BEACH, CA 90815
Los Angeles County (562) 597-1414

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 Douglas Wall's NPI number?

The NPI number for Douglas Wall is 1467462002. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is Douglas Wall located?

Douglas Wall practices at 5479 E Abbeyfield St #4, Long Beach, CA 90815. The listed phone number is (562) 597-1414.

What is Douglas Wall's specialty?

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

Is Douglas Wall enrolled in Medicare?

Yes. Douglas Wall is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Douglas Wall was last updated on June 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.