Active NPI
Carl Kilpatrick Walker, D.M.D.,M.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Birmingham, AL
National Provider Identifier
1093866493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 4132
- Practice address
- 521 Montgomery Hwy
Suite 125
Birmingham, AL 35216-1878 - Phone
- (205) 823-1583
- Fax
- (205) 823-1590
- NPI assigned
- Jan 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4132 | AL | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 4132 | AL | Primary |
Addresses
Primary practice location
521 Montgomery Hwy
Suite 125
Birmingham, AL 35216-1878
Mailing address
955 Conroy Rd
Birmingham, AL 35222-4424
Phone (205) 595-5537
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47-0863717 | Other | AL | TAX IDENTIFICATION NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4132 | AL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664236800000",
"number": "1093866493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "955 CONROY RD",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352224424",
"telephone_number": "205-595-5537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 MONTGOMERY HWY",
"address_2": "SUITE 125",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352161878",
"telephone_number": "205-823-1583",
"fax_number": "205-823-1590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "CARL",
"middle_name": "KILPATRICK",
"name_prefix": "Dr.",
"credential": "D.M.D.,M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-15",
"last_updated": "2022-09-27",
"certification_date": "2022-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AL",
"license": "4132",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "AL",
"license": "4132",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX IDENTIFICATION NUMBER",
"identifier": "47-0863717",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.