Beau Walker DMD, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BEAU WALKER DMD, LLC

Practice address

3700 Coors Blvd NW # 1405
Albuquerque, NM 87120-1405

Phone

(505) 344-6565

NPI assigned

Oct 14, 2026

Last updated

Oct 14, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Beau Walker, DMD

Title

Owner

Phone

(435) 757-9664

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1791936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791936000000",
    "number": "1053217422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 MOUNTAIN ROAD PL NE STE 13235",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 COORS BLVD NW # 1405",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201405",
            "telephone_number": "505-344-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAU WALKER DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-14",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "BEAU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-757-9664",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connie Beatty, RDH, MS
• Emmy Beatty
• Herbert M Beatty, D.C.
• Justin F Beatty, M.D.
• Patsy Ann Beatty, RRT
• Don Isaac Beaucage, LADAC #3502
• Suzanne Beaucage, LISW
• Callie Dawn Beauchamp, AUD.
• Carla Beauchamp, SLP
• Kathryn Beauchamp

• Dental Clinic/Center in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Dental Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.