Organization Active NPI

Crystal Walker, DDS, PA

  • Pediatric Dentistry
  • Wichita, KS
National Provider Identifier
1013193028
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
60282 Issued in KS
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

Updated by the provider on Oct 14, 2016

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)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.