Michaela Walker, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11184 Issued in OR

Practice address

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

Phone

(541) 267-6425

Fax

(541) 267-4203

NPI assigned

Nov 21, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Michaela Miller Former name

Medicare fee-for-service enrollment

Enrolled in OR

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Michaela M Walker DDS, LLC

  dba Michaela Walker's Family Dentistry

  • Dental Clinic/Center
  • Coos Bay, OR
  • NPI 1417765991
  NPD Authorized official

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1457894610",
    "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": {
        "last_name": "WALKER",
        "first_name": "MICHAELA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-21",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "11184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAELA",
            "last_name": "MILLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gail Loree Wahl, PH.D.
• James M. Wahl
• Wal-Mart Stores Inc (Wal-Mart Pharmacy 10-2301)
• Krystal Cathleen Walden
• Bryan Charles Walker, RPH
• Robert E Wallace
• Candace Nicole Wallis
• Walmart Inc. (Walmart Pharmacy 10-1880)
• Walmart, Inc. (Walmart pharmacy 10-3164)
• Tasha Anne Walter, CADC 1, CRM, PSS

• General Practice Dentistry in Coos Bay, OR
• Providers in Coos Bay, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.