Organization Active NPI

Stephen L. Walker DDS PLLC

  • Endodontics
  • Mesa, AZ
National Provider Identifier
1255762175
Registry record updated Dec 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
D06935 Issued in AZ
Legal business name
STEPHEN L. WALKER DDS PLLC
Practice address
2220 W Southern Ave Ste 102
Mesa, AZ 85202-4706
Phone
(602) 391-3155
NPI assigned
Dec 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2013

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

Authorized official

Name
Dr. Stephen Walker, DDS, MS
Title
Owner
Phone
(602) 391-3155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X D06935 AZ Primary

Addresses

Primary practice location

2220 W Southern Ave Ste 102
Mesa, AZ 85202-4706

Mailing address

2220 W Southern Ave Ste 102
Mesa, AZ 85202-4706

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386028800000",
    "number": "1255762175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 W SOUTHERN AVE STE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 W SOUTHERN AVE STE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024706",
            "telephone_number": "602-391-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN L. WALKER DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-03",
        "last_updated": "2013-12-03",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-391-3155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "AZ",
            "license": "D06935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; 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.