Active NPI
Crystal Walker, DDS, PA
- Pediatric Dentistry
- Wichita, KS
National Provider Identifier
1013193028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 60282
- Legal business name
- CRYSTAL WALKER, DDS, PA
- Practice address
- 6943 W 37TH St N
Wichita, KS 67205-9302 - Phone
- (316) 613-2077
- Fax
- (316) 613-2969
- NPI assigned
- Jan 21, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Crystal Rachelle Walker, DDS
- Title
- President
- Phone
- (316) 613-2077
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 60282 | KS | Primary |
Addresses
Primary practice location
6943 W 37TH St N
Wichita, KS 67205-9302
Mailing address
6943 W 37TH St N
Wichita, KS 67205-9302
Phone (316) 613-2077
National Provider Directory
National Provider DirectoryLocations
6943 W 37th St N
Wichita, KS 67205
Phone (316) 613-2077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200873600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1476403200000",
"number": "1013193028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6943 W 37TH ST N",
"city": "WICHITA",
"state": "KS",
"postal_code": "672059302",
"telephone_number": "316-613-2077",
"fax_number": "316-613-2969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6943 W 37TH ST N",
"city": "WICHITA",
"state": "KS",
"postal_code": "672059302",
"telephone_number": "316-613-2077",
"fax_number": "316-613-2969"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRYSTAL WALKER, DDS, PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-21",
"last_updated": "2016-10-14",
"status": "A",
"authorized_official_last_name": "WALKER",
"authorized_official_first_name": "CRYSTAL",
"authorized_official_middle_name": "RACHELLE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "316-613-2077",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "KS",
"license": "60282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.