Scott Walker, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D9338 Issued in OR

Practice address

527 Tuskegee Airmen Ave
Sheppard Afb, TX 76311

Phone

(940) 676-4474

NPI assigned

Feb 24, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1487894952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3096 LAMAR WAY",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957478955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 TUSKEGEE AIRMEN AVE",
            "city": "SHEPPARD AFB",
            "state": "TX",
            "postal_code": "76311",
            "telephone_number": "940-676-4474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "655 7th St Bldg 700700-A",
            "address_2": "78 MDG/SGHC",
            "address_purpose": "LOCATION",
            "city": "Robins AFB",
            "state": "GA",
            "postal_code": "310982227",
            "country_code": "US",
            "telephone_number": "213-999-5363",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15301 Warren Shingle Rd",
            "address_purpose": "LOCATION",
            "city": "Beale AFB",
            "state": "CA",
            "postal_code": "959031907",
            "country_code": "US",
            "telephone_number": "530-634-4924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-24",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D9338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Sheppard Afb, TX
• Providers in Sheppard Afb, 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 Sep 18, 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.