C. Richard Walker D.D.S., Inc.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

12006995A Issued in IN

Legal business name

C. RICHARD WALKER D.D.S., INC.

Practice address

408 W Market St
Crawfordsville, IN 47933-1600

Phone

(765) 362-1717

Fax

(765) 364-0642

NPI assigned

Dec 16, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles Richard Walker, D.D.S.NPI 1598827222

Title

President

Phone

(765) 362-1717

Specialties & licenses 1

Addresses

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.

• Charles Richard Walker Jr., D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Crawfordsville, IN
  • NPI 1598827222
  Authorized official Same address or phone

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

{
    "created_epoch": "1166227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235291964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 W MARKET ST",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479331600",
            "telephone_number": "765-362-1717",
            "fax_number": "765-364-0642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 W MARKET ST",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479331600",
            "telephone_number": "765-362-1717",
            "fax_number": "765-364-0642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C. RICHARD WALKER D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-362-1717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IN",
            "license": "12006995A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breanna Buck, RBT
• Alyssa Bueschel, RBT
• Rebecca L Bushong, M.D.
• Joel Butcher, RBT
• Paula Naydine Byerly, PT DPT ATC CLT OCS
• Corrina Cain
• Alisa J Calhoun
• Chad Andrew Canal, D.D.S.
• Cancer Care Group, P.C.
• Cancer Care Group, P.C.

• Oral and Maxillofacial Surgery (Dentist) in Crawfordsville, IN
• Providers in Crawfordsville, IN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.