Jerry Keith Walker, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

36664 Issued in TX

Practice address

8815 Dyer St Ste 210
El Paso, TX 79904-2035

Phone

(915) 755-7697

NPI assigned

Sep 8, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dental Health Associates of Texas, PC

  • General Practice Dentistry
  • El Paso, TX
  • NPI 1922659218
  NPD (past)

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1467066316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8815 DYER ST STE 210",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799042035",
            "telephone_number": "915-755-7697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8815 DYER ST STE 210",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799042035",
            "telephone_number": "915-755-7697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JERRY",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-08",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "36664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avery Scott Walker, M.D.
• Belinda Esperanza Walker
• Charlene Nicole Walker, D.D.S
• Charles D Walker, DNP, CRNP, PMHNP-BC
• David John Walker, P.A.
• Lorena S. Walker, FNP
• Sandra Walker
• Vernoy Anthony Walker, MD
• Haley Elizabeth Wall, MS OTR/L
• Sofia Wall, SLP

• General Practice Dentistry in El Paso, TX
• Providers in El Paso, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.