Melvin W. Walters, DDS - a Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

17796 Issued in CA

Legal business name

MELVIN W. WALTERS, DDS - A DENTAL CORPORATION

Practice address

4450 Duckhorn Dr Ste B
Sacramento, CA 95834-2589

Phone

(916) 575-9990

NPI assigned

Dec 12, 2007

Last updated

Dec 12, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Melvin Wesley Walters, DDS

Title

Owner/Orthodontist

Phone

(916) 575-9990

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1346423316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 DUCKHORN DR STE B",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958342589",
            "telephone_number": "916-575-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 DUCKHORN DR STE B",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958342589",
            "telephone_number": "916-575-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELVIN W. WALTERS, DDS - A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "OWNER/ORTHODONTIST",
        "authorized_official_telephone_number": "916-575-9990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "17796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy Melnikow, M.D., M.P.H.
• Aselia Melo
• Juliana Melo, M.D.
• Lisa Melo
• Michelle Le Ann Melton, ASW
• Amanda Dolores Melvin
• Jennifer Lynn Melvin, LVN
• Josh Phillip Melvin
• Robin S. Melzer, MSW
• Zulema Jaxsiri Memije

• Dental Clinic/Center in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.