Individual provider Active NPI

Christine Walters, DDS

  • Dentist
  • Denham Springs, LA
National Provider Identifier
1437601184
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6684 Issued in LA
Practice address
10129 Crossing Way
Suite 400
Denham Springs, LA 70726-5891
Phone
(225) 788-1400
NPI assigned
Oct 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6684 LA Primary

Addresses

Primary practice location

10129 Crossing Way
Suite 400
Denham Springs, LA 70726-5891

Mailing address

10129 Crossing Way
Suite 400
Denham Springs, LA 70726-5891
Phone (225) 788-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20170425000862 LA Order and Referring Only - DentistPractitioner - Dentist 7214213495

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6684LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jacob Dent, DDS Juban Crossing Modern Dentistry a Professional Corpora Dentist Past Accepting new patients

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": "1477612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1437601184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10129 CROSSING WAY",
            "address_2": "SUITE 400",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707265891",
            "telephone_number": "225-788-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10129 CROSSING WAY",
            "address_2": "SUITE 400",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707265891",
            "telephone_number": "225-788-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "CHRISTINE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-28",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "6684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denham Springs, LA

Sources for this page

Verify at the official NPI Registry.