Active NPI
Wayne R. Walker, D.D.S.
- General Practice Dentistry
- Walnut Creek, CA
National Provider Identifier
1386786366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22858
- Practice address
- 106 La Casa Via
Suite 280
Walnut Creek, CA 94598-3086 - Phone
- (925) 932-2110
- Fax
- (925) 932-3124
- NPI assigned
- Feb 13, 2007
- Last updated
- Jul 8, 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22858 | CA | Primary |
Addresses
Primary practice location
106 La Casa Via
Suite 280
Walnut Creek, CA 94598-3086
Mailing address
106 La Casa Via
Suite 280
Walnut Creek, CA 94598-3086
Phone (925) 932-2110
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 |
|---|---|---|---|
| 22858 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Troy Schmedding DDS | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386786366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 LA CASA VIA",
"address_2": "SUITE 280",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945983086",
"telephone_number": "925-932-2110",
"fax_number": "925-932-3124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 LA CASA VIA",
"address_2": "SUITE 280",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945983086",
"telephone_number": "925-932-2110",
"fax_number": "925-932-3124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "WAYNE",
"middle_name": "R.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "22858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.