Jason Lamar Walker, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D9454 Issued in OR

Practice address

1100 Southgate
Suite 17
Pendleton, OR 97801-3974

Phone

(541) 276-1561

NPI assigned

Jul 16, 2010

Last updated

Jul 16, 2010By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Medical Center Dental, LLC

  • General Practice Dentistry
  • Pendleton, OR
  • NPI 1285903047
  NPD (past) Authorized official
• Medical Center Dental Office, LLC

  • Dental Clinic/Center
  • Pendleton, OR
  • NPI 1649584400
  NPD (past)

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279238400000",
    "number": "1497068662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SOUTHGATE",
            "address_2": "SUITE 17",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978013974",
            "telephone_number": "541-276-1561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SOUTHGATE",
            "address_2": "SUITE 17",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978013974",
            "telephone_number": "541-276-1561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JASON",
        "middle_name": "LAMAR",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-16",
        "last_updated": "2010-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D9454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cole Vu, PHARM.D.
• Loc Vinh Vuu, D.D.S.
• Glavis M Wagner
• Wal-Mart Stores, Inc (Vision Center 30-2492)
• Walgreen Co (Walgreens #15370)
• Shoshoni S Walker, CHW
• Yvonne Walker
• Walmart Inc. (Walmart Pharmacy 10-2492)
• Candace Lynn Walters, M.A.
• James Denton Ward, D.O.

• General Practice Dentistry in Pendleton, OR
• Providers in Pendleton, 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 16, 2010; 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.