Individual provider Active NPI

Heather Lindsay Walker, DMD

  • General Practice Dentistry
  • Louisville, KY
National Provider Identifier
1043294945
Registry record updated Jun 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7954 Issued in KY
Practice address
10640 Dixie Hwy
Louisville, KY 40272-4350
Phone
(502) 933-4427
NPI assigned
Dec 4, 2005
Last updated
Jun 23, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7954 KY
Public Health Dentistry 1223D0001X 7954 KY
General Practice Dentistry 1223G0001X 7954 KY Primary

Addresses

Primary practice location

10640 Dixie Hwy
Louisville, KY 40272-4350

Mailing address

10640 Dixie Hwy
Louisville, KY 40272-4350
Phone (502) 933-4427

Other identifiers 1

IdentifierTypeStateIssuer
7100093560MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160513001277 KY Order and Referring Only - DentistPractitioner - Dentist 0941599914

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7954KYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mortenson Family Dental Center Past Accepting new patients
Mortenson Family Dental Center-Valley Station Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1133654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403481600000",
    "number": "1043294945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10640 DIXIE HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402724350",
            "telephone_number": "502-933-4427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10640 DIXIE HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402724350",
            "telephone_number": "502-933-4427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "HEATHER",
        "middle_name": "LINDSAY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-04",
        "last_updated": "2014-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "7954",
            "primary": false
        },
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "KY",
            "license": "7954",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "7954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100093560",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.