Active NPI
Melvin W. Walters, D.D.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Sacramento, CA
National Provider Identifier
1336282789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 17796
- Practice address
- 4450 Duckhorn Drive
Suite B
Sacramento, CA 95834 - Phone
- (916) 575-9991
- Fax
- (916) 575-9993
- NPI assigned
- Feb 15, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 17796 | CA | Primary |
Addresses
Primary practice location
4450 Duckhorn Drive
Suite B
Sacramento, CA 95834
Mailing address
4450 Duckhorn Dr
Suite B
Sacramento, CA 95834
Phone (916) 575-9991
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 |
|---|---|---|---|
| 17796 | CA | MD | Music Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786838400000",
"number": "1336282789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4450 DUCKHORN DR",
"address_2": "SUITE B",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95834",
"telephone_number": "916-575-9991",
"fax_number": "916-575-9993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4450 DUCKHORN DRIVE",
"address_2": "SUITE B",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95834",
"telephone_number": "916-575-9991",
"fax_number": "916-575-9993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTERS",
"first_name": "MELVIN",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-15",
"last_updated": "2026-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "17796",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.