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Dr. Gerald Maynard Wall , DDS

Dentist - General Practice β€’ Las Vegas, NV

Active NPI 1407921398 Individual Practitioner Male Practitioner
Practice location in NPPES

1811 S Rainbow Blvd, Suite 101
Las Vegas, NV 891460894

Call 7025625044 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1811 S Rainbow Blvd
Suite 101

Las Vegas, NV 891460894

Telephone 7025625044
Fax 7025623289
Organization at the Same NPPES Address or Phone
Affinity Dental Facility NPI 1548582166

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Las Vegas and Nevada

574 active clinicians are listed under Dentist - General Practice with a practice address in Las Vegas, NV (1,077 in Nevada).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Las Vegas

0% of these 574 clinicians have the CMS telehealth indicator.

0.2% of these 574 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES NV 4543

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Nevada State Medical Licensing Board.
Look Up on State Board Site

Career & Practice History

NPI enumerated November 24, 2006.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

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NPI Administrative Meta

NPI Number: 1407921398
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 24, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Other Dentist - General Practices in Las Vegas

All Dentist - General Practices in Las Vegas

Mailing Address

1811 S Rainbow Blvd, Suite 101

Las Vegas, NV 891460894

Phone: 7025625044

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.