Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Tanya C Wall, DDS

Pediatric Dentistry in Jacksonville, FL · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063528586

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Registry record

Entity type Individual (Type 1)

Name Dr. Tanya C Wall

Credential DDS

Sex Female

Practice address 2255 Dunn Ave, Bldg. 700, Jacksonville, FL, 32218

Phone (904) 751-5126

Fax (904) 751-5146

Enumeration date Aug 21, 2006

Last updated in NPPES Jan 8, 2019

Taxonomy & licenses

1223P0221X Pediatric Dentistry Dental Providers · License DN15601 (FL) Primary

DDS · Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential

Other identifiers

Identifier	Type	State	Issuer
70640	Other	FL	ADI HEALTHY KIDS
0758264000	Medicaid	FL	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Tanya Wall's NPI record?

Cross-check NPI 1063528586 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1063528586 active?

Yes, as of the latest NPPES snapshot, NPI 1063528586 is active (record last updated 2019-01-08).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-01-08.