Organization Active NPI

Veronica S Walker DDS PLLC

  • Dentist
  • Kernersville, NC
National Provider Identifier
1295893253
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5334 Issued in NC
Legal business name
VERONICA S WALKER DDS PLLC
Practice address
428 W Mountain St
Kernersville, NC 27284
Phone
(336) 993-3727
Fax
(336) 993-3918
NPI assigned
Dec 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

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

Authorized official

Name
Dr. Veronica Siafacas Walker, DDSNPI 1588722532
Title
Owner
Phone
(336) 993-3727

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5334 NC Primary

Addresses

Primary practice location

428 W Mountain St
Kernersville, NC 27284

Mailing address

428 W Mountain St
Kernersville, NC 27284
Phone (336) 993-3727

Other identifiers 2

IdentifierTypeStateIssuer
890289EMedicaidNC
0289OtherNCBCBSNC

Other names 1

  • Walker and Walker DDS PLLC Former legal business name

National Provider Directory

National Provider Directory

Locations

428 W Mountain St
Kernersville, NC 27284
Phone (336) 782-0054

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1295893253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 W MOUNTAIN ST",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "27284",
            "telephone_number": "336-993-3727",
            "fax_number": "336-993-3918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 W MOUNTAIN ST",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "27284",
            "telephone_number": "336-993-3727",
            "fax_number": "336-993-3918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERONICA S WALKER DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "SIAFACAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-993-3727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "5334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890289E",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "0289",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walker and Walker DDS PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Kernersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; 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.