Individual provider Active NPI

Jaret Dale Walker, DPM

  • Podiatrist
  • Denton, TX
National Provider Identifier
1194724039
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1685 Issued in TX
Practice address
3205 Medpark
Denton, TX 76208-6932
Phone
(940) 382-8400
Fax
(800) 345-5821
NPI assigned
Jul 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1685 TX Primary
Podiatrist 213E00000X 219 AR
Podiatrist 213E00000X 248 OK

Addresses

Primary practice location

3205 Medpark
Denton, TX 76208-6932

Mailing address

3205 Medpark Dr
Denton, TX 76208-6932
Phone (940) 382-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050711000614 TX Practitioner - Podiatry 3971549445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3205 Medpark Dr
Denton, TX 76208-6870
Phone (940) 382-8400

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1685TXMDMarriage & Family Therapist
219ARMDPodiatrist
248OKMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jaret Walker, DPM PA Podiatrist CurrentSince Mar 11, 2005 Accepting new patients
Scientific Therapy PC Past Accepting new patients

Locations

3537 S Interstate 35 E
Ste 315
Denton, TX 76210
Phone (940) 382-8400

3205 Medpark Dr
Denton, TX 76208
Phone (940) 382-8400

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1194724039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 MEDPARK DR",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762086932",
            "telephone_number": "940-382-8400",
            "fax_number": "800-345-5821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 MEDPARK",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762086932",
            "telephone_number": "940-382-8400",
            "fax_number": "800-345-5821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JARET",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1685",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AR",
            "license": "219",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OK",
            "license": "248",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.