Walter Jackson Garner, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5113 Issued in AL

Practice address

1200 20TH St S
Suite 202
Birmingham, AL 35205-3859

Phone

(205) 930-9797

Fax

(205) 930-9799

NPI assigned

Nov 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Alabama Dental Professionals, P.C.

  • General Practice Dentistry
  • Birmingham, AL
  • NPI 1134739246
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487724977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 20TH ST S",
            "address_2": "SUITE 202",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352053859",
            "telephone_number": "205-930-9797",
            "fax_number": "205-930-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 20TH ST S",
            "address_2": "SUITE 202",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352053859",
            "telephone_number": "205-930-9797",
            "fax_number": "205-930-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARNER",
        "first_name": "WALTER",
        "middle_name": "JACKSON",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA DENTAL LICENCE",
            "identifier": "5113",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Garner
• Kiwanda Garner, NP
• Linda D Garner, RN
• Matlie Garner
• Seth Garner, PHARMD, BCCCP
• Kimberly Garnett
• Jacqueline Mary Garonzik Wang, MD PHD
• Garrett Bass LLC
• Charmelle Garrett, LICSW
• Christopher Harrison Garrett, MD

• General Practice Dentistry in Birmingham, AL
• Providers in Birmingham, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.