Levi Walters, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

8171062 Issued in ID

Practice address

1311 E Central Dr
Meridian, ID 83642-7991

Phone

(208) 373-1855

NPI assigned

Jun 9, 2025

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1083509202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1797 E FIRESIDE DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421116",
            "telephone_number": "864-553-4425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 E CENTRAL DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427991",
            "telephone_number": "208-373-1855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "LEVI",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ID",
            "license": "8171062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walmart Inc. (WalMart Pharmacy 10-3093)
• Walmart Inc. (Walmart Pharmacy 10-5841)
• Rick Walsh Jr., OWNER
• Bryan Paul Walters, RN
• Kevin Craig Walters, MD
• Morgan Rose Walters, DOCTOR OF PHARMACY
• Chase Dee Warburton, PHARMD
• Warby Parker Inc.
• Alexis Stephanie Ward, PHARMD, RPH
• April Anne Ward, AU.D.

• Dentist in Meridian, ID
• Providers in Meridian, ID by specialty
• Dentist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.