Walter Blevins Jr., DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4562 Issued in KY

Practice address

178 Douglas Pkwy
Pikeville, KY 41501-6970

Phone

(606) 639-3135

Fax

(888) 854-5336

NPI assigned

May 22, 2007

Last updated

Oct 13, 2026By 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

Other identifiers 1

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791849600000",
    "number": "1083823306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 KY ROUTE 321 STE 3",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416539097",
            "telephone_number": "606-886-8546",
            "fax_number": "606-886-8548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 DOUGLAS PKWY",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415016970",
            "telephone_number": "606-639-3135",
            "fax_number": "888-854-5336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7617 Ky Route 979",
            "address_purpose": "LOCATION",
            "city": "Grethel",
            "state": "KY",
            "postal_code": "416316304",
            "country_code": "US",
            "telephone_number": "606-587-2200",
            "fax_number": "855-217-1130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "940 Parkway Dr",
            "address_purpose": "LOCATION",
            "city": "Salyersville",
            "state": "KY",
            "postal_code": "414659251",
            "country_code": "US",
            "telephone_number": "606-349-5126",
            "fax_number": "888-338-9735",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6500 Highway 645 Ste 110",
            "address_purpose": "LOCATION",
            "city": "Inez",
            "state": "KY",
            "postal_code": "412249181",
            "country_code": "US",
            "telephone_number": "606-298-3412",
            "fax_number": "844-858-8954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLEVINS",
        "first_name": "WALTER",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "4562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60045622",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Pikeville, KY
• Providers in Pikeville, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; 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.