Organization Active NPI

Walker & Walker P.L.L.C.

  • Dentist
  • Ft. Gibson, OK
National Provider Identifier
1396980546
Registry record updated Dec 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5799 Issued in OK
Legal business name
WALKER & WALKER P.L.L.C.
Doing business as
Ft. Gibson Family Dentistry
Practice address
106 Lone Oak CR
Ft. Gibson, OK 74434
Phone
(918) 478-8400
NPI assigned
Dec 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2008

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

Authorized official

Name
Kristy Ann Manley
Title
Office Manager
Phone
(918) 478-8400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 5989 OK
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 5799 OK Primary

Addresses

Primary practice location

106 Lone Oak CR
Ft. Gibson, OK 74434

Mailing address

106 Lone Oak CR
Ft. Gibson, OK 74434
Phone (918) 478-8400

Other names 1

  • Ft. Gibson Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

106 Lone Oak Cir
Fort Gibson, OK 74434
Phone (918) 205-1935

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228176000000",
    "number": "1396980546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 LONE OAK CR",
            "city": "FT. GIBSON",
            "state": "OK",
            "postal_code": "74434",
            "telephone_number": "918-478-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 LONE OAK CR",
            "city": "FT. GIBSON",
            "state": "OK",
            "postal_code": "74434",
            "telephone_number": "918-478-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALKER & WALKER P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-02",
        "last_updated": "2008-12-02",
        "status": "A",
        "authorized_official_last_name": "MANLEY",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "918-478-8400"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "OK",
            "license": "5989",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "OK",
            "license": "5799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ft. Gibson Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ft. Gibson, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; 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.