Troy R Walton, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5927889 Issued in UT

Practice address

271 Springcreek Pkwy Ste D
Providence, UT 84332-9875

Phone

(435) 755-6562

NPI assigned

Aug 2, 2006

Sex

Male

Sole proprietor

Yes

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 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

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.

• Redwood Dental

  • Dentist
  • Providence, UT
  • NPI 1033574975
  NPD (past)
• Redwood Dental PDC PLLC

  • Dental Clinic/Center
  • Providence, UT
  • NPI 1881317535
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450656000000",
    "number": "1407863574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 696",
            "address_2": "161 EAST 550 NORTH",
            "city": "MILLVILLE",
            "state": "UT",
            "postal_code": "84326",
            "telephone_number": "435-245-6390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 SPRINGCREEK PKWY STE D",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843329875",
            "telephone_number": "435-755-6562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTON",
        "first_name": "TROY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2015-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "5927889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yohanna Sachiko Vernon, M.D.
• Kurt Gordon Vest, DMD
• Spencer William Wade, D.C.
• Abigail Waite, RBT
• Aurie Lyn Walker
• Kade Ward, DPT
• Wasatch Anesthesia LLC
• Wasatch Pediatric Dentistry, PC
• Jesse Charles Washburn, DO
• McKinzie Weber

• General Practice Dentistry in Providence, UT
• Providers in Providence, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.