Dee Anna Walker, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

15582 Issued in TX

Practice address

302 South Avenue Q
Clifton, TX 76634

Phone

(254) 675-3518

Fax

(254) 675-1262

NPI assigned

Jun 8, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Dee Anna Nichols Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ko Dental Group, PC

  • Dentist
  • Clifton, TX
  • NPI 1053911396
  NPD (past)

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314835200000",
    "number": "1043214059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 366",
            "city": "CLIFTON",
            "state": "TX",
            "postal_code": "76634",
            "telephone_number": "254-675-3518",
            "fax_number": "254-675-1262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 SOUTH AVENUE Q",
            "city": "CLIFTON",
            "state": "TX",
            "postal_code": "76634",
            "telephone_number": "254-675-3518",
            "fax_number": "254-675-1262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "DEE",
        "middle_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-08",
        "last_updated": "2011-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "N15582",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "15582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEE",
            "last_name": "NICHOLS",
            "middle_name": "ANNA",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jodie Tarver, LPC
• Harley Marie Thomas, COTA
• William P Trotter, MD
• Richard T Turner, M.D.
• Robert Lance Urbanovsky, D. C.
• Laci Desirae Waner, MD
• Jose Vernon Watson, MD
• Nicolas Welch, DPM
• Valerie Wells, LPCI
• Mary L Werlinger, DNP, APRN, FNP-BC

• Dentist in Clifton, TX
• Providers in Clifton, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; 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.