Michaela M Walker DDS, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MICHAELA M WALKER DDS, LLC

Doing business as

Michaela Walker's Family Dentistry

Practice address

470 Highland Ave Ste 1And2
Coos Bay, OR 97420-2243

Phone

(541) 267-6425

Fax

(541) 267-4203

NPI assigned

Dec 30, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Michaela Walker, DDSNPI 1457894610

Title

Owner

Phone

(707) 499-8537

Specialties & licenses 1

Addresses

Other names 1

• Michaela Walker's Family Dentistry Doing business as

Locations

Practitioners 1

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

• Michaela Walker, DDS

  • General Practice Dentistry
  • Coos Bay, OR
  • NPI 1457894610
  NPD Authorized official

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

{
    "created_epoch": "1735516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1417765991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 HIGHLAND AVE STE 1AND2",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202243",
            "telephone_number": "541-267-6425",
            "fax_number": "541-267-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 HIGHLAND AVE STE 1AND2",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202243",
            "telephone_number": "541-267-6425",
            "fax_number": "541-267-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAELA M WALKER DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "MICHAELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-499-8537",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michaela Walker's Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew Joseph Melton, CRM
• Chava Mendelsohn
• Shelly Jo Mendoza, SLP
• Anita Merritt, CNM
• Ashley Karynn Merz, NP-C
• Caryn C Mickelson, PHARMD
• Annette Jane Miles, PWS
• Alissa R Miller, DC
• Felisha Miller, FNP
• Isaiah Miller, PSS

• Dental Clinic/Center in Coos Bay, OR
• Providers in Coos Bay, OR by specialty
• Dental Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.