Individual provider Active NPI

Dianne Walker-Houston, D.D.S.

  • General Practice Dentistry
  • Detroit, MI
National Provider Identifier
1508951237
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901018023 Issued in MI
Practice address
1355 Oakman Blvd Ste 201
Detroit, MI 48238-2849
Phone
(313) 461-6262
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4668 LA
General Practice Dentistry 1223G0001X 2901018023 MI Primary

Addresses

Primary practice location

1355 Oakman Blvd Ste 201
Detroit, MI 48238-2849

Mailing address

3320 Spinnaker LN Apt 18F
Detroit, MI 48207-5006
Phone (504) 616-7958

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220923001034 MI Practitioner - Dentist 5294110425 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4668LAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Detroit Health Care for the Homeless CurrentSince Sep 1, 2022 Accepting new patients
Detroit Health Care for the Homeless Current Accepting new patients
Detroit Health Care for the Homeless CurrentSince Sep 1, 2022 Accepting new patients
Algiers Dental Associates LLC General Practice Past Accepting new patients
Detroit Health Care for the Homeless Past Accepting new patients

Locations

100 River Place Dr
Ste 450
Detroit, MI 48207

101 E Alexandrine St
Detroit, MI 48201
Phone (313) 416-6262

1355 Oakman Blvd
Detroit, MI 48238
Phone (313) 416-6262

1355 Oakman Blvd
Ste 201
Detroit, MI 48238
Phone (313) 461-6262

15400 W McNichols Rd
Detroit, MI 48235
Phone (313) 416-6262

4669 E 8 Mile Rd
Warren, MI 48091
Phone (313) 416-6200

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1508951237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 SPINNAKER LN APT 18F",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482075006",
            "telephone_number": "504-616-7958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 OAKMAN BLVD STE 201",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482382849",
            "telephone_number": "313-461-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER-HOUSTON",
        "first_name": "DIANNE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2022-12-16",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "4668",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901018023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.