Kelly Maddox Walker, D.M.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

8751 Issued in KY

Practice address

7214 Dixie Hwy
Louisville, KY 40258-3720

Phone

(502) 937-3998

NPI assigned

May 11, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Endodontic Associates of Louisville PLLC

  • Endodontics
  • Louisville, KY
  • NPI 1720096951
  NPD (past)

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

{
    "created_epoch": "1242000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432771200000",
    "number": "1407080179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7214 DIXIE HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402583720",
            "telephone_number": "502-937-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7214 DIXIE HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402583720",
            "telephone_number": "502-937-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "KELLY",
        "middle_name": "MADDOX",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-11",
        "last_updated": "2015-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "KY",
            "license": "8751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Renee Walker, APRN
• Jerome Francis Walker, EDD
• Jessica Walker, RD
• Jon David Walker, MD ,PSC
• Katherine Elizabeth Walker, RBT
• Kent Lyle Walker, DO
• Kimberly Dawn Walker, DNP, RN, CPNP-PC
• Kristianna Walker
• Lauren Sydne Walker, DNP, CRNA
• Leslie Joanne Walker

• Endodontics in Louisville, KY
• Providers in Louisville, KY by specialty
• Endodontics in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.