Mckenzie Wallace, STUDENT
NPI 1194429597 · General Practice Dentistry · Saint Paul, MN
Enrolled with Medicare as Practitioner - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mckenzie Wallace, STUDENT is a General Practice Dentistry provider in Saint Paul, MN (NPI 1194429597).
Provider details
- NPI number
- 1194429597
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- STUDENT
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Dental Providers
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
3 yrs in NPPES registry
- Profile completeness33% of score
83% of core fields populated
- Practice footprint20% of score
1 documented practice location
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$105 across 4 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-03-29
- Last updated
- 2023-05-25
- Certified
- 2023-05-25
Frequently asked questions
- What is Mckenzie Wallace's NPI number?
- Mckenzie Wallace's National Provider Identifier (NPI) is 1194429597, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mckenzie Wallace's specialty?
- Mckenzie Wallace is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Mckenzie Wallace located?
- Mckenzie Wallace's practice location on file with NPPES is 1026 7th St W, Saint Paul, MN 55102-3828.
- What is Mckenzie Wallace's phone number?
- The practice phone number listed in the NPPES registry for Mckenzie Wallace is (651) 758-9500.
- Does Mckenzie Wallace accept Medicare?
- Mckenzie Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mckenzie Wallace's NPI active?
- Yes — Mckenzie Wallace's NPI (1194429597) is active in the NPPES registry as of the last update on 2023-05-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.