Individual provider Active NPI

Katie Jo Walker

  • General Practice Dentistry
  • Spring Hill, KS
National Provider Identifier
1477083046
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
61526 Issued in KS
Practice address
22450 S Harrison St Ste 102
Spring Hill, KS 66083-8882
Phone
(913) 592-4149
NPI assigned
Jun 15, 2017
Last updated
Oct 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 61526 KS Primary

Addresses

Primary practice location

22450 S Harrison St Ste 102
Spring Hill, KS 66083-8882

Mailing address

22450 S Harrison St Ste 102
Spring Hill, KS 66083-8882
Phone (913) 592-4149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
61526KSMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
KJW Dental, LLC General Practice CurrentSince Oct 27, 2024 Accepting new patients
Ryan Dental GPS LLC PastSince Jun 1, 2023 Accepting new patients
Dental Professionals of Nebraska, PC General Practice PastSince Jul 1, 2022 Accepting new patients
Spring Hill Family Dentistry, PA General Practice PastSince Oct 27, 2024 Accepting new patients

Locations

22450 S Harrison St
Ste 102
Spring Hill, KS 66083
Phone (402) 380-0461

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1477083046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22450 S HARRISON ST STE 102",
            "city": "SPRING HILL",
            "state": "KS",
            "postal_code": "660838882",
            "telephone_number": "913-592-4149",
            "fax_number": "913-592-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22450 S HARRISON ST STE 102",
            "city": "SPRING HILL",
            "state": "KS",
            "postal_code": "660838882",
            "telephone_number": "913-592-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "KATIE",
        "middle_name": "JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "61526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.