Active NPI
Camille E Walker, D.D.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Ellensburg, WA
National Provider Identifier
1043281009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DE00010300
- Practice address
- 109 N Pine St
Ellensburg, WA 98926-3330 - Phone
- (509) 962-6902
- NPI assigned
- Jan 30, 2006
- Last updated
- Jan 24, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DE00010300 | WA | Primary |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | D9408 | OR |
Addresses
Primary practice location
109 N Pine St
Ellensburg, WA 98926-3330
Mailing address
109 N Pine St
Ellensburg, WA 98926-3330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D9408 | OR | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| DE00010300 | WA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706054400000",
"number": "1043281009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 N PINE ST",
"city": "ELLENSBURG",
"state": "WA",
"postal_code": "989263330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 N PINE ST",
"city": "ELLENSBURG",
"state": "WA",
"postal_code": "989263330",
"telephone_number": "509-962-6902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "CAMILLE",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-30",
"last_updated": "2024-01-24",
"certification_date": "2024-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "WA",
"license": "DE00010300",
"primary": true
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "OR",
"license": "D9408",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellensburg, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.