Steven Blair Walters, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18947 Issued in OH

Practice address

26777 Lorain Rd Ste 614
North Olmsted, OH 44070-3222

Phone

(440) 777-2757

Fax

(440) 777-4479

NPI assigned

Sep 19, 2007

Last updated

Sep 19, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Steven B Walters DDS Inc

  • General Practice Dentistry
  • North Olmsted, OH
  • NPI 1558436725
  Authorized official Same address or phone

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190160000000",
    "number": "1558557009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26777 LORAIN RD STE 614",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440703222",
            "telephone_number": "440-777-2757",
            "fax_number": "440-777-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26777 LORAIN RD STE 614",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440703222",
            "telephone_number": "440-777-2757",
            "fax_number": "440-777-4479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "STEVEN",
        "middle_name": "BLAIR",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "18947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #12445)
• Barjesh Kaur Walters
• David Theodore Walters, LPCC-S
• Jasmine Nicole Walters, LPCC
• Kiren Kaur Walters, D.M.D.
• Lauren Anne Wanosky, DMD
• Laura Wasnick, MSW, LSW
• Kristen Marie Way, PHARMD
• Laura Weakland
• Jessica Webb, RPH, PHARMD

• General Practice Dentistry in North Olmsted, OH
• Providers in North Olmsted, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.