Active NPI
Michael L. Walker, DDS, Ms
- Pediatric Dentistry
- Cedar Rapids, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- MICHAEL L. WALKER, DDS, MS
- Practice address
- 1962 1St Ave NE
Cedar Rapids, IA 52402-5330 - Phone
- (319) 364-2413
- NPI assigned
- May 19, 2008
- Last updated
- May 19, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Louis Walker, DDS
- Title
- Owner
- Phone
- (319) 364-2413
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | Primary |
Addresses
Primary practice location
1962 1St Ave NE
Cedar Rapids, IA 52402-5330
Mailing address
1962 1St Ave NE
Cedar Rapids, IA 52402-5330
Phone (319) 364-2413
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 834228 | Other | UNITED CONCORDIA | |
| 0215939 | Medicaid | IA |
National Provider Directory
National Provider DirectoryLocations
1962 1st Ave NE
Cedar Rapids, IA 52402
Phone (319) 364-0030
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatric Dentistry
- Cedar Rapids, IA
- NPI 1285618181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211155200000",
"number": "1437316353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1962 1ST AVE NE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524025330",
"telephone_number": "319-364-2413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1962 1ST AVE NE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524025330",
"telephone_number": "319-364-2413"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL L. WALKER, DDS, MS",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-19",
"last_updated": "2008-05-19",
"status": "A",
"authorized_official_last_name": "WALKER",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "LOUIS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "319-364-2413",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "834228",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0215939",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.