Individual provider Active NPI

David Glenn Walker, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Morehead City, NC
National Provider Identifier
1427378975
Registry record updated Dec 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
8951 Issued in NC
Practice address
4358 Bridges St
Morehead City, NC 28557-0166
Phone
(252) 726-1137
Fax
(252) 247-3181
NPI assigned
Jun 7, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 8951 NC Primary

Addresses

Primary practice location

4358 Bridges St
Morehead City, NC 28557-0166

Mailing address

4358 Bridges St
Morehead City, NC 28557-0166
Phone (252) 726-1137

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 1, 2018 through Oct 1, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8951NCMDHealth Service Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Fischer, Richards & Walker, PA Orthodontics and Dentofacial Orthopedics Current Accepting new patients

Locations

17 Office Park Dr
Jacksonville, NC 28546
Phone (910) 353-5234

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1427378975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4358 BRIDGES ST",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285570166",
            "telephone_number": "252-726-1137",
            "fax_number": "252-247-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4358 BRIDGES ST",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285570166",
            "telephone_number": "252-726-1137",
            "fax_number": "252-247-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "DAVID",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-07",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NC",
            "license": "8951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead City, NC

Sources for this page

Verify at the official NPI Registry.