DR. WALLACE RAY BLACKWELDER D.D.S.
NPI 1801915939
Dentist in Rowland Heights, CA

Q: What is Wallace Blackwelder's NPI number?

The NPI number for Wallace Blackwelder is 1801915939. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Q: What is Wallace Blackwelder's specialty?

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

Active since March 28, 2007PECOS Enrolled

19728 COLIMA RD, ROWLAND HEIGHTS, CA 91748(909) 594-1758(909) 594-4158 Get Directions Write a Review

NPPES record last updated: June 13, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Wallace Ray Blackwelder D.d.s. NPPES

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

DR. WALLACE RAY BLACKWELDER D.D.S. (NPI 1801915939) is an individual dentist in Rowland Heights, California, licensed in California (031897) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801915939

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. WALLACE RAY BLACKWELDERCredential: D.D.S.

Location Address19728 COLIMA RDRowland Heights, CA 91748-3210

Mailing Address19728 Colima RdRowland Heights, CA 91748-3210 · (909) 594-1758 · Fax (909) 594-4158

Phone(909) 594-1758

Fax(909) 594-4158

Sole ProprietorYes

Enumeration DateMarch 28, 2007

Last NPPES UpdateJune 13, 2012

✔ NPI 1801915939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 031897

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.

19728 COLIMA RD, Rowland Heights, CA 91748

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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. Wallace Ray Blackwelder 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 91748 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

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

W.R. BLACKWELDER D.D.S. , INC.

Clinic/Center (Dental)

19728 COLIMA RD
ROWLAND HEIGHTS, CA 91748

Los Angeles County (909) 594-1758

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 Wallace Blackwelder's NPI number?

The NPI number for Wallace Blackwelder is 1801915939. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Where is Wallace Blackwelder located?

Wallace Blackwelder practices at 19728 Colima Rd, Rowland Heights, CA 91748. The listed phone number is (909) 594-1758.

What is Wallace Blackwelder's specialty?

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

Is Wallace Blackwelder enrolled in Medicare?

Yes. Wallace Blackwelder is registered in the Medicare PECOS enrollment system.

What insurance does Wallace Blackwelder accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Wallace Blackwelder 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 Wallace Blackwelder was last updated on June 13, 2012. 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.