Tanya Wall, DDS
NPI 1063528586 · Pediatric Dentistry · Jacksonville, FL
Enrolled with Medicare as Practitioner - Pediatric Dentistry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tanya Wall, DDS is a Pediatric Dentistry provider in Jacksonville, FL (NPI 1063528586).
Provider details
- NPI number
- 1063528586
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- DN15601 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-21
- Last updated
- 2019-01-08
Frequently asked questions
- What is Tanya Wall's NPI number?
- Tanya Wall's National Provider Identifier (NPI) is 1063528586, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tanya Wall's specialty?
- Tanya Wall is listed in the NPPES registry with a primary specialty of Pediatric Dentistry (Dental Providers).
- Where is Tanya Wall located?
- Tanya Wall's practice location on file with NPPES is 2255 Dunn Ave, Jacksonville, FL 32218.
- What is Tanya Wall's phone number?
- The practice phone number listed in the NPPES registry for Tanya Wall is (904) 751-5126.
- Does Tanya Wall accept Medicare?
- Tanya Wall is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tanya Wall's NPI active?
- Yes — Tanya Wall's NPI (1063528586) is active in the NPPES registry as of the last update on 2019-01-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.