Active NPI
Elizabeth Walker, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Williston, VT
National Provider Identifier
1194973206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 0160117242
- Practice address
- 71 Knight LN
Suite 10
Williston, VT 05495 - Phone
- (802) 876-7803
- Fax
- (802) 876-7924
- NPI assigned
- Sep 3, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 0160117242 | VT | Primary |
Addresses
Primary practice location
71 Knight LN
Suite 10
Williston, VT 05495
Mailing address
71 Knight LN
Suite 10
Williston, VT 05495
Phone (802) 876-7803
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0160117242 | VT | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526601600000",
"number": "1194973206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 KNIGHT LN",
"address_2": "SUITE 10",
"city": "WILLISTON",
"state": "VT",
"postal_code": "05495",
"telephone_number": "802-876-7803",
"fax_number": "802-876-7924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 KNIGHT LN",
"address_2": "SUITE 10",
"city": "WILLISTON",
"state": "VT",
"postal_code": "05495",
"telephone_number": "802-876-7803",
"fax_number": "802-876-7924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-03",
"last_updated": "2018-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "VT",
"license": "0160117242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Williston, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.