Individual provider Active NPI

Debra Dean Walker, RDH

  • Dental Hygienist
  • Colorado Springs, CO
National Provider Identifier
1538020755
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
904509 Issued in CO
Practice address
625 N Cascade Ave Ste 200
Colorado Springs, CO 80903-3271
Phone
(719) 633-5501
NPI assigned
Nov 18, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental HygienistGroup: 193400000X SINGLE SPECIALTY GROUP 124Q00000X 904509 CO Primary

Addresses

Primary practice location

625 N Cascade Ave Ste 200
Colorado Springs, CO 80903-3271

Mailing address

4121 Tumbleweed Dr
Colorado Springs, CO 80918-4421
Phone (719) 428-8214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
904509COMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Smiles Dentistry CurrentSince Nov 24, 2025 Accepting new patients

Locations

625 N Cascade Ave
Ste 200
Colorado Springs, CO 80903
Phone (719) 577-4944

Organizations & group practices 1

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": "1763424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1538020755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 TUMBLEWEED DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809184421",
            "telephone_number": "719-428-8214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 N CASCADE AVE STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033271",
            "telephone_number": "719-633-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "DEBRA",
        "middle_name": "DEAN",
        "name_prefix": "Ms.",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-18",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "904509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.