Individual provider Active NPI

George Dwight Walker, DDS

  • General Practice Dentistry
  • St Thomas, VI
National Provider Identifier
1154517910
Registry record updated Sep 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
380 Issued in VI
Practice address
3004 Altona Welgunst 211
Medical Arts Complex #20
St Thomas, VI 00802
Phone
(340) 774-1675
Fax
(340) 774-1675
NPI assigned
Sep 14, 2007
Last updated
Sep 14, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 380 VI Primary

Addresses

Primary practice location

3004 Altona Welgunst 211
Medical Arts Complex #20
St Thomas, VI 00802

Mailing address

PO Box 12137
St Thomas, VI 00801-5137
Phone (340) 774-1675

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

State licenses

LicenseStateTypeSpecialty
380VIMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189728000000",
    "number": "1154517910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12137",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008015137",
            "telephone_number": "340-774-1675",
            "fax_number": "340-774-1675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 ALTONA WELGUNST 211",
            "address_2": "MEDICAL ARTS COMPLEX #20",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "00802",
            "telephone_number": "340-774-1675",
            "fax_number": "340-774-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "GEORGE",
        "middle_name": "DWIGHT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-14",
        "last_updated": "2007-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VI",
            "license": "380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Thomas, VI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.

Verify at the official NPI Registry.