Barjesh Kaur Walters

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19494 Issued in OH

Practice address

26777 Lorain Rd Ste 614
North Olmsted, OH 44070-3222

Phone

(440) 777-2757

Fax

(440) 777-4479

NPI assigned

Sep 19, 2007

Sex

Female

Sole proprietor

No

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 OH

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": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190160000000",
    "number": "1083800544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26777 LORAIN RD STE 614",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440703222",
            "telephone_number": "440-777-2757",
            "fax_number": "440-777-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26777 LORAIN RD STE 614",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440703222",
            "telephone_number": "440-777-2757",
            "fax_number": "440-777-4479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "BARJESH",
        "middle_name": "KAUR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "19494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vital Hydration & Wellness
• W a Jones Optical Co., Inc.
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Walgreen Co
• David Theodore Walters, LPCC-S
• Kiren Kaur Walters, D.M.D.
• Steven Blair Walters, DDS
• Lauren Anne Wanosky, DMD
• Laura Wasnick, MSW, LSW

• General Practice Dentistry in North Olmsted, OH
• Providers in North Olmsted, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.