Joel Arlan Walters, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

2901020963 Issued in MI

Practice address

844 Washington Ave Ste 4100
Holland, MI 49423-7196

Phone

(616) 392-1108

NPI assigned

Jul 15, 2013

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walters Family Dentistry PLLC

  • Dental Clinic/Center
  • Holland, MI
  • NPI 1144708660
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1013358456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 W 30TH ST",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494236938",
            "telephone_number": "616-392-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 WASHINGTON AVE STE 4100",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494237196",
            "telephone_number": "616-392-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "JOEL",
        "middle_name": "ARLAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-15",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901020963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linnea Walmsley, MS, OTR/L
• Sarah Walsh
• Ashley Walter
• Walters Family Dentistry PLLC
• Bruce Walters, MD
• Keith P Walters
• Krista Walters, M.ED., M.A., CCC-SLP
• Selena Walters
• Douglas Walvoord, M.D.
• Frank Wamsley, LMSW

• Dentist in Holland, MI
• Providers in Holland, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; 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.