Organization Active NPI

Edward Walk DMD PC

  • Dentist
  • Newton, MA
National Provider Identifier
1528575727
Registry record updated Jan 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN11893 Issued in MA
Legal business name
EDWARD WALK DMD PC
Practice address
64 Columbus St
Newton, MA 02461-1439
Phone
(617) 965-3225
Fax
(617) 965-7501
NPI assigned
Jan 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2018

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

Authorized official

Name
Dr. Edward Burton Walk, DMDNPI 1972524775
Title
President
Phone
(617) 965-3225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN11893 MA Primary

Addresses

Primary practice location

64 Columbus St
Newton, MA 02461-1439

Mailing address

64 Columbus St
Newton, MA 02461-1439
Phone (617) 965-3225

Other names 1

  • Cosdent.com Other name

National Provider Directory

National Provider Directory

Locations

64 Columbus St
Newton Highlands, MA 02461
Phone (617) 965-3225

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515456000000",
    "number": "1528575727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 COLUMBUS ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024611439",
            "telephone_number": "617-965-3225",
            "fax_number": "617-965-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 COLUMBUS ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024611439",
            "telephone_number": "617-965-3225",
            "fax_number": "617-965-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD WALK DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-09",
        "last_updated": "2018-01-09",
        "status": "A",
        "authorized_official_last_name": "WALK",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "BURTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-965-3225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN11893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cosdent.com",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2018; 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.