Individual provider Active NPI

Kathryn Elena Walker, DDS

  • Dentist
  • San Antonio, TX
National Provider Identifier
1356781454
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
29106 Issued in TX
Practice address
999 E Basse Rd Ste 116
San Antonio, TX 78209-1803
Phone
(720) 442-3101
NPI assigned
Jul 3, 2013
Last updated
Sep 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 29106 TX Primary

Addresses

Primary practice location

999 E Basse Rd Ste 116
San Antonio, TX 78209-1803

Mailing address

259 Montclair St
San Antonio, TX 78209-4651
Phone (720) 442-3101

Other practice location 1

1207 N Loop 1604 W
Suite 118
San Antonio, TX 78258-4628
Phone (210) 479-8779

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
29106TXMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1356781454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 MONTCLAIR ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782094651",
            "telephone_number": "720-442-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 E BASSE RD STE 116",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091803",
            "telephone_number": "720-442-3101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1207 N Loop 1604 W",
            "address_2": "Suite 118",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782584628",
            "country_code": "US",
            "telephone_number": "210-479-8779",
            "fax_number": "210-479-7903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "KATHRYN",
        "middle_name": "ELENA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-03",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "29106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; 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.