NPIMap

Organization Active NPI

Jason D. Walker, DDS, PC

  • General Practice Dentistry
  • Stillwater, OK
National Provider Identifier
1316112204
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5883 Issued in OK
Legal business name
JASON D. WALKER, DDS, PC
Practice address
804 S Pine St
Stillwater, OK 74074-4349
Phone
(405) 372-8818
Fax
(405) 377-2175
NPI assigned
Apr 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
Dr. Jason Walker, DDSNPI 1336346774
Title
President
Phone
(405) 372-8818

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5883 OK Primary

Addresses

Primary practice location

804 S Pine St
Stillwater, OK 74074-4349

Mailing address

804 S Pine St
Stillwater, OK 74074-4349
Phone (405) 372-8818

National Provider Directory

National Provider Directory

Locations

804 S Pine St
Stillwater, OK 74074
Phone (405) 372-8818

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": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1316112204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 S PINE ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744349",
            "telephone_number": "405-372-8818",
            "fax_number": "405-377-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 S PINE ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744349",
            "telephone_number": "405-372-8818",
            "fax_number": "405-377-2175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON D. WALKER, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-372-8818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.