Ronald Walker Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.033541 Issued in IL

Practice address

1860 N Richmond Rd
McHenry, IL 60051-5416

Phone

(224) 347-3575

NPI assigned

Dec 8, 2014

Last updated

Jun 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1356749311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 N RICHMOND RD",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600515416",
            "telephone_number": "224-347-3475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 N RICHMOND RD",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600515416",
            "telephone_number": "224-347-3575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1095 Herndon Ave # 102",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936120504",
            "country_code": "US",
            "telephone_number": "559-326-5272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "RONALD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-08",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "63548",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.033541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtenay Aine Wagner
• Samantha Leigh Wahlgren, MS, OTR/L
• Natalia P Walat, CRNA
• Walgreen Co (Walgreens #05469)
• Jasmine Walker
• Gregory Walso, LCPC
• Ashley N Walter
• Cindy D Walters
• Cassandra Ann Wanek, OTR/L
• Joy Inting Wang, MD

• General Practice Dentistry in McHenry, IL
• Providers in McHenry, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.