Thomas A. Walker, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4177 Issued in OR

Practice address

1585 SW Marlow Ave Ste 220
Portland, OR 97225-5178

Phone

(503) 729-6662

Fax

(503) 746-7979

NPI assigned

Mar 15, 2007

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 OR

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

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414108800000",
    "number": "1083748487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 SW MARLOW AVE STE 220",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255178",
            "telephone_number": "503-729-6662",
            "fax_number": "503-746-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 SW MARLOW AVE STE 220",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255178",
            "telephone_number": "503-729-6662",
            "fax_number": "503-746-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "THOMAS",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2014-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "4177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila Walker, PT
• Stephen E Walker, QMHP
• Taler Walker
• Tamar Virtelle Lan Walker, MD, MBA
• Taylor Walker, LMT
• Tracy Walker, MD
• Trina Lashawn Walker, RN
• William Walker Jr., LCSW
• Marilyn Mills Walkey, MD, LAC
• Kalen Walkington, RN

• General Practice Dentistry in Portland, OR
• Providers in Portland, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; 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.