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DR. CAMERON S WALLACE D.D.S.
NPI 1871729186
Dentist - General Practice in Katy, TX

Active since June 02, 2009PECOS Enrolled

NPPES record last updated: June 2, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Cameron S Wallace D.d.s. NPPES

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

DR. CAMERON S WALLACE D.D.S. (NPI 1871729186) is an individual general practice provider in Katy, Texas, licensed in Texas (23910) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871729186
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. CAMERON S WALLACECredential: D.D.S.
Location Address6127 N FRY RDKaty, TX 77449-5563
Mailing Address6127 N Fry RdKaty, TX 77449-5563 · (281) 550-3795
Phone(281) 550-3795
Sole ProprietorNo
Enumeration DateJune 2, 2009
✔ NPI 1871729186 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 · 23910
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.
6127 N FRY RD, Katy, TX 77449
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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. Cameron S Wallace 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 77449 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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 6

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

MS. STEPHANIE ORTIZ-NEUSCHAEFER R.D.H.
Dental Hygienist
6127 N FRY RD
KATY, TX 77449
Harris County (281) 550-3795
DR. TASHA ROSE RUIZ DDS
Dentist
6127 N FRY RD
KATY, TX 77449
Harris County (281) 550-3795
TRINIDAD FAMILY DENTAL PLLC
Dentist (General Practice)
6127 N FRY RD
KATY, TX 77449
Harris County (832) 779-8444
MRS. KERILYN LEIGH SCOVILLE RDH
Dental Hygienist
6127 N FRY RD
KATY, TX 77449
Harris County (281) 550-3795
DR. RAJESH AMEEN DDS
Dentist
6127 N FRY RD
KATY, TX 77449
Harris County (281) 550-3795
NETWORK PROVIDER ASSOCIATES, P.C.
Dentist
6127 N FRY RD
KATY, TX 77449
Harris County (281) 550-3795

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 Cameron Wallace's NPI number?

The NPI number for Cameron Wallace is 1871729186. It was assigned to this individual provider in the NPPES registry on June 2, 2009.

Where is Cameron Wallace located?

Cameron Wallace practices at 6127 N Fry Rd, Katy, TX 77449. The listed phone number is (281) 550-3795.

What is Cameron Wallace's specialty?

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

Is Cameron Wallace enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Cameron Wallace was last updated on June 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.