Kyle Jordan Walkington, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901020194 Issued in MI

Practice address

3884 Monitor Rd
Bay City, MI 48706-9298

Phone

(989) 671-2000

Fax

(989) 686-0638

NPI assigned

Jun 9, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276041600000",
    "number": "1235459579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 LAPEER AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486071208",
            "telephone_number": "989-759-6400",
            "fax_number": "989-759-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3884 MONITOR RD",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487069298",
            "telephone_number": "989-671-2000",
            "fax_number": "989-686-0638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKINGTON",
        "first_name": "KYLE",
        "middle_name": "JORDAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-09",
        "last_updated": "2010-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901020194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deidra Walker
• Demario Walker
• Lindsey M Walker, D.O.
• Melva Walker
• Natasha Te'Osha Lashay Walker
• Elizabeth Anne Walkowiak, M.A., CCC-SLP
• Caleb Daniel Wallace
• Alysse Wallaker
• Peyton Wallaker
• Reid Larson Walleman, PT, DPT

• General Practice Dentistry in Bay City, MI
• Providers in Bay City, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; 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.