Alex K Walker, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

12011016A Issued in IN

Practice address

Indy Oral Surgery
3701 N. Everbrook LN.
Muncie, IN 47304

Phone

(765) 216-1633

Fax

(765) 216-1374

NPI assigned

Jul 3, 2007

Last updated

Dec 21, 2023By the provider in NPPES

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

Enrolled in IN

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Indy Dental and Oral Surgery LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Indianapolis, IN
  • NPI 1275232555
  NPD Authorized official
• Central Indiana Oral Surgery and Implantology

  dba Walker Oral Surgery

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Carmel, IN
  • NPI 1295041093
  NPD (past) Authorized official
• Donald R Walker LLC

  dba Walker Oral Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Carmel, IN
  • NPI 1811166713
  NPD (past)
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1043418817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 N EVERBROOK LN",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045270",
            "telephone_number": "765-216-1633",
            "fax_number": "812-917-2152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "INDY ORAL SURGERY",
            "address_2": "3701 N. EVERBROOK LN.",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "47304",
            "telephone_number": "765-216-1633",
            "fax_number": "765-216-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "ALEX",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IN",
            "license": "12011016A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daylin Waldridge
• Walgreen Co (Walgreens #06420)
• Walgreen Co (Walgreens #05802)
• Walgreen Co (Walgreens #05803)
• Walgreen Co (Walgreens #10533)
• Bay Walker, RBT
• Diana S Walker
• Lauren Walker, MA, BCBA
• Maren Walker
• Stacy Walker, PHD, ATC

• Oral and Maxillofacial Surgery (Dentist) in Muncie, IN
• Providers in Muncie, IN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.