What is Kim Wallace's NPI number?

Kim Wallace's National Provider Identifier (NPI) is 1689681041, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kim Wallace's specialty?

Kim Wallace is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).

Where is Kim Wallace located?

Kim Wallace's practice location on file with NPPES is 635 Anderson Rd, Davis, CA 95616-3505.

What is Kim Wallace's phone number?

The practice phone number listed in the NPPES registry for Kim Wallace is (530) 757-6453.

Is Kim Wallace's NPI active?

Yes — Kim Wallace's NPI (1689681041) is active in the NPPES registry as of the last update on 2016-05-11.

IndividualActive

Kim Wallace, D.D.S.

NPI 1689681041 · General Practice Dentistry · Davis, CA

Kim Wallace, D.D.S. is a General Practice Dentistry provider in Davis, CA (NPI 1689681041).

Provider details

NPI number: 1689681041
Entity type: Individual
Primary specialty: General Practice DentistryDental Providers
Credential: D.D.S.
Sex: Male
Sole proprietor: Yes
License: 22932 (CA)

Specialties & taxonomies

General Practice DentistryPrimary1223G0001XLicense 22932 (CA)
Dental Providers

Profile Score

Detailed profile(91/100 index)

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

635 Anderson Rd

Suite 17

Davis, CA 95616-3505

Phone: (530) 757-6453

Fax: (530) 757-6450

Street-level locationGet directions

More CA providers

Mailing address