Active NPI
H. Carroll Walker, Jr., DDS,PA
- Pediatric Dentistry
- Starkville, MS
National Provider Identifier
1124209465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- PEDO-006-74
- Legal business name
- H. CARROLL WALKER, JR., DDS,PA
- Practice address
- 100 Brandon Rd Ste W
Starkville, MS 39759-2571 - Phone
- (662) 323-9726
- Fax
- (662) 323-9727
- NPI assigned
- Nov 15, 2007
- Last updated
- Nov 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Darcy Redus
- Title
- Office MGR
- Phone
- (662) 323-9726
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | PEDO-006-74 | MS | Primary |
Addresses
Primary practice location
100 Brandon Rd Ste W
Starkville, MS 39759-2571
Mailing address
100 Brandon Rd Ste W
Starkville, MS 39759-2571
Phone (662) 323-9726
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09205284 | Medicaid | MS |
National Provider Directory
National Provider DirectoryLocations
100 Brandon Rd
Ste W
Starkville, MS 39759
Phone (662) 323-9726
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatric Dentistry
- Starkville, MS
- NPI 1720281694
-
- Pediatric Dentistry
- Starkville, MS
- NPI 1215037445
-
- Pediatric Dentistry
- Starkville, MS
- NPI 1922112804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1195084800000",
"number": "1124209465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 BRANDON RD STE W",
"city": "STARKVILLE",
"state": "MS",
"postal_code": "397592571",
"telephone_number": "662-323-9726",
"fax_number": "662-323-9727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 BRANDON RD STE W",
"city": "STARKVILLE",
"state": "MS",
"postal_code": "397592571",
"telephone_number": "662-323-9726",
"fax_number": "662-323-9727"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "H. CARROLL WALKER, JR., DDS,PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-15",
"last_updated": "2007-11-15",
"status": "A",
"authorized_official_last_name": "REDUS",
"authorized_official_first_name": "DARCY",
"authorized_official_title_or_position": "OFFICE MGR",
"authorized_official_telephone_number": "662-323-9726",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "MS",
"license": "PEDO-006-74",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09205284",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Starkville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.