NPIMap

Individual provider Active NPI

Scott R Walker, D.M.D.

  • Dentist
  • Beaverton, OR
National Provider Identifier
1336205970
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D7525 Issued in OR
Practice address
14845 SW Murray Scholls Dr
Suite 113
Beaverton, OR 97007-9237
Phone
(503) 590-7574
Fax
(503) 590-8664
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D7525 OR Primary

Addresses

Primary practice location

14845 SW Murray Scholls Dr
Suite 113
Beaverton, OR 97007-9237

Mailing address

14845 SW Murray Scholls Dr
Suite 113
Beaverton, OR 97007-9237
Phone (503) 590-7574

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

LicenseStateTypeSpecialty
D7525ORMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Scott R. Walker, DMD, PC Dentist Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336205970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14845 SW MURRAY SCHOLLS DR",
            "address_2": "SUITE 113",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970079237",
            "telephone_number": "503-590-7574",
            "fax_number": "503-590-8664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14845 SW MURRAY SCHOLLS DR",
            "address_2": "SUITE 113",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970079237",
            "telephone_number": "503-590-7574",
            "fax_number": "503-590-8664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "SCOTT",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D7525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.