Individual provider Active NPI

Stephen Bruce Walker, DDS

  • Dentist
  • Cashiers, NC
National Provider Identifier
1548602683
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
027 Issued in NC
Practice address
130 US Hwy 64 East PB 451
Cashiers, NC 28717-0451
Phone
(828) 743-3393
Fax
(828) 743-5038
NPI assigned
Jul 17, 2013
Last updated
Jul 17, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 027 NC Primary

Addresses

Primary practice location

130 US Hwy 64 East PB 451
Cashiers, NC 28717-0451

Mailing address

PO Box 451
Cashiers, NC 28717-0451
Phone (828) 743-3393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20161208000852 SC Order and Referring Only - DentistPractitioner - Dentist 9335429398

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
027NCMDDentist
2446SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Free Dental Clinic Dentist Past Accepting new patients

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

NPI Registry JSON

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374019200000",
    "number": "1548602683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 451",
            "city": "CASHIERS",
            "state": "NC",
            "postal_code": "287170451",
            "telephone_number": "828-743-3393",
            "fax_number": "828-743-5038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 US HWY 64 EAST PB 451",
            "city": "CASHIERS",
            "state": "NC",
            "postal_code": "287170451",
            "telephone_number": "828-743-3393",
            "fax_number": "828-743-5038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "STEPHEN",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-17",
        "last_updated": "2013-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cashiers, NC

Sources for this page

Verify at the official NPI Registry.