Active NPI
Matthew E. Walker PC Inc
- General Practice Dentistry
- Tahlequah, OK
National Provider Identifier
1548452444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- MATTHEW E. WALKER PC INC
- Practice address
- 221 E. Downing St.
Tahlequah, OK 74464 - Phone
- (918) 456-4441
- Fax
- (918) 456-2523
- NPI assigned
- Aug 14, 2007
- Last updated
- Dec 4, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Matthew Evann Walker, DDS
- Title
- Owner
- Phone
- (918) 456-4441
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
221 E. Downing St.
Tahlequah, OK 74464
Mailing address
221 E. Downing St.
Tahlequah, OK 74464
Phone (918) 456-4441
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100119300A | Medicaid | OK |
National Provider Directory
National Provider DirectoryLocations
221 E Downing St
Tahlequah, OK 74464
Phone (918) 456-4441
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- Tahlequah, OK
- NPI 1619070752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1512345600000",
"number": "1548452444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 E. DOWNING ST.",
"city": "TAHLEQUAH",
"state": "OK",
"postal_code": "74464",
"telephone_number": "918-456-4441",
"fax_number": "918-456-2523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 E. DOWNING ST.",
"city": "TAHLEQUAH",
"state": "OK",
"postal_code": "74464",
"telephone_number": "918-456-4441",
"fax_number": "918-456-2523"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MATTHEW E. WALKER PC INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-14",
"last_updated": "2017-12-04",
"status": "A",
"authorized_official_last_name": "WALKER",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "EVANN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "918-456-4441",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100119300A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tahlequah, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.