Active NPI
David E Walker, DDS
- General Practice Dentistry
- Fargo, ND
National Provider Identifier
1275817645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9672
- Practice address
- 1300 23Rd Street South
Fargo, ND 58103 - Phone
- (701) 241-6020
- NPI assigned
- Oct 4, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401413227 | VA | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 2370 | ND | |
| General Practice Dentistry | 1223G0001X | 9672 | NC | Primary |
Addresses
Primary practice location
1300 23Rd Street South
Fargo, ND 58103
Mailing address
1300 23Rd Street South
Fargo, ND 58103
Phone (701) 241-6020
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9672 | Other | NC | NORTH CAROLINA STATE LICENSE |
| 0401413227 | Other | VA | THE COMMONWEALTH OF VIRGINIA |
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 |
|---|---|---|---|
| 0401413227 | VA | MD | Dentist |
| 9672 | NC | MD | General Practice Dentistry |
| 2370 | ND | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694736000000",
"number": "1275817645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 23RD STREET SOUTH",
"city": "FARGO",
"state": "ND",
"postal_code": "58103",
"telephone_number": "701-241-6020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 23RD STREET SOUTH",
"city": "FARGO",
"state": "ND",
"postal_code": "58103",
"telephone_number": "701-241-6020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "DAVID",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-04",
"last_updated": "2023-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401413227",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "ND",
"license": "2370",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "9672",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH CAROLINA STATE LICENSE",
"identifier": "9672",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THE COMMONWEALTH OF VIRGINIA",
"identifier": "0401413227",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.