NPIMap

Organization Active NPI

Walker Dental Care

  • Dentist
  • Columbia, SC
National Provider Identifier
1417169707
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4038 Issued in SC
Legal business name
WALKER DENTAL CARE
Practice address
225 Longtown Road
Columbia, SC 29229
Phone
(803) 865-9919
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Lee Anderson Walker, D.M.DNPI 1780721266
Title
Coowner
Phone
(803) 865-9919

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 3984 SC
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 4038 SC Primary

Addresses

Primary practice location

225 Longtown Road
Columbia, SC 29229

Mailing address

223 N Woodlake Dr
Columbia, SC 29229-8919
Phone (803) 865-9919

Other identifiers 2

IdentifierTypeStateIssuer
ZX4038MedicaidSC
ZX3984MedicaidSC

National Provider Directory

National Provider Directory

Locations

225 Longtown Rd
Columbia, SC 29229
Phone (803) 865-9919

Practitioners & affiliated clinicians

Practitioners 2

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": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417169707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 N WOODLAKE DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292298919",
            "telephone_number": "803-865-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 LONGTOWN ROAD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29229",
            "telephone_number": "803-865-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALKER DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "ANDERSON",
        "authorized_official_title_or_position": "COOWNER",
        "authorized_official_telephone_number": "803-865-9919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": "3984",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": "4038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX4038",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX3984",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.