John S Walker, D.M.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

HDL05355 Issued in CO

Practice address

350 Broadway
Suite 120
Boulder, CO 80305-3300

Phone

(303) 494-3535

Fax

(303) 494-5095

NPI assigned

Jul 12, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Boulder Valley Orthodontics, PLLC

  dba Walker & Leypoldt Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Boulder, CO
  • NPI 1952812836
  NPD (past)
• John S Walkerdmd Prof LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Boulder, CO
  • NPI 1871915496
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388448000000",
    "number": "1295760502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 BROADWAY",
            "address_2": "SUITE 120",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803053300",
            "telephone_number": "303-494-3535",
            "fax_number": "303-494-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BROADWAY",
            "address_2": "SUITE 120",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803053300",
            "telephone_number": "303-494-3535",
            "fax_number": "303-494-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JOHN",
        "middle_name": "S",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2013-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "HDL05355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105355",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arzelia Garcia Walker, PH.D.
• Eleanor C Walker, ARNP
• Forrest G. Walker, P.T.
• Jessica JT Walker, MD
• Joanna Rose Walker
• Lester R. Wall, ED.D
• Richard Wall, B.A.
• Hilary Wallace, M.D.
• Jennifer A Wallace, M.A., L.P.C.
• Jessica Wallace

• Orthodontics and Dentofacial Orthopedics Dentistry in Boulder, CO
• Providers in Boulder, CO by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.