Mitchell Walker DDS, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9266 Issued in TX

Legal business name

MITCHELL WALKER DDS, INC.

Practice address

708B Paluxy Road
Granbury, TX 76048-2396

Phone

(817) 573-2622

Fax

(817) 579-0142

NPI assigned

Feb 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mitchell Walker, D.D.S.

Title

Owner

Phone

(817) 573-2622

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356484844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708B PALUXY ROAD",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760482396",
            "telephone_number": "817-573-2622",
            "fax_number": "817-579-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708B PALUXY ROAD",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760482396",
            "telephone_number": "817-573-2622",
            "fax_number": "817-579-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL WALKER DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-573-2622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "9266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.