Wallace Blackwelder, D.D.S.
NPI 1801915939 · Dentist · Rowland Heights, CA
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wallace Blackwelder, D.D.S. is a Dentist provider in Rowland Heights, CA (NPI 1801915939).
Provider details
- NPI number
- 1801915939
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 031897 (CA)
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
- 2007-03-28
- Last updated
- 2012-06-13
Frequently asked questions
- What is Wallace Blackwelder's NPI number?
- Wallace Blackwelder's National Provider Identifier (NPI) is 1801915939, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Wallace Blackwelder's specialty?
- Wallace Blackwelder is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Wallace Blackwelder located?
- Wallace Blackwelder's practice location on file with NPPES is 19728 Colima Rd, Rowland Heights, CA 91748-3210.
- What is Wallace Blackwelder's phone number?
- The practice phone number listed in the NPPES registry for Wallace Blackwelder is (909) 594-1758.
- Does Wallace Blackwelder accept Medicare?
- Wallace Blackwelder is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Wallace Blackwelder's NPI active?
- Yes — Wallace Blackwelder's NPI (1801915939) is active in the NPPES registry as of the last update on 2012-06-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.