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DR. CHAD DUANE WALLACE D.D.S.
NPI 1912070335
Dentist - General Practice in Rome, NY

Active since November 15, 2006PECOS Enrolled
63 GEIGER RD, ROME, NY 13441(315) 339-2120(315) 339-2120 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Chad Duane Wallace D.d.s. NPPES

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

DR. CHAD DUANE WALLACE D.D.S. (NPI 1912070335) is an individual general practice provider in Rome, New York, licensed in New York (051249) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912070335
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. CHAD DUANE WALLACECredential: D.D.S.
Location Address63 GEIGER RDRome, NY 13441-4324
Mailing Address63 Geiger RdRome, NY 13441-4324 · (315) 339-2120 · Fax (315) 339-2120
Phone(315) 339-2120
Fax(315) 339-2120
Sole ProprietorYes
Enumeration DateNovember 15, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1912070335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 051249
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.
63 GEIGER RD, Rome, NY 13441
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Other Identifiers 1

Medicaid02620184NY

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. Chad Duane 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 13441 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

MATTHEW SEYMOUR WALLACE DDS
Dentist
63 GEIGER RD
ROME, NY 13441
Oneida County (315) 339-2120

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 Chad Wallace's NPI number?

The NPI number for Chad Wallace is 1912070335. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Where is Chad Wallace located?

Chad Wallace practices at 63 Geiger Rd, Rome, NY 13441. The listed phone number is (315) 339-2120.

What is Chad Wallace's specialty?

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

Is Chad Wallace enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Chad Wallace was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.