Organization Active NPI

Daniel J. Walters DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
National Provider Identifier
1164724431
Registry record updated Aug 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016003479 Issued in IL
Legal business name
DANIEL J. WALTERS DPM PC
Practice address
6545 W Archer Ave
Chicago, IL 60638-2438
Phone
(773) 586-0050
Fax
(773) 586-0533
NPI assigned
Nov 18, 2010
Last updated
Aug 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2015

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

Authorized official

Name
Dr. Daniel J Walters, DPMNPI 1598832552
Title
President
Phone
(773) 586-0050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 016003479 IL Primary

Addresses

Primary practice location

6545 W Archer Ave
Chicago, IL 60638-2438

Mailing address

6545 W Archer Ave
Chicago, IL 60638-2438
Phone (773) 586-0050

National Provider Directory

National Provider Directory

Locations

6545 W Archer Ave
Chicago, IL 60638
Phone (773) 229-8505

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1290038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439164800000",
    "number": "1164724431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6545 W ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606382438",
            "telephone_number": "773-586-0050",
            "fax_number": "773-586-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6545 W ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606382438",
            "telephone_number": "773-586-0050",
            "fax_number": "773-586-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL J. WALTERS DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-18",
        "last_updated": "2015-08-10",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-586-0050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016003479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; 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.