William Michael Walker, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11457 Issued in NC

Practice address

122 S Goose Creek Blvd Ste a
Goose Creek, SC 29445-3136

Phone

(843) 764-3081

NPI assigned

Jun 19, 2019

Last updated

Jun 30, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Cypress Family Dental

  • Dental Clinic/Center
  • Johns Island, SC
  • NPI 1194517631
  NPD Authorized official
• Goose Creek Family Dentistry LLC

  • General Practice Dentistry
  • Goose Creek, SC
  • NPI 1508004268
  NPD (past)

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1588224737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 ASHLEY GARDEN BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294149121",
            "telephone_number": "240-434-8993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 S GOOSE CREEK BLVD STE A",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294453136",
            "telephone_number": "843-764-3081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1611 Greenfield St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284016455",
            "country_code": "US",
            "telephone_number": "910-342-9210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "WILLIAM",
        "middle_name": "MICHAEL",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-19",
        "last_updated": "2021-06-30",
        "certification_date": "2021-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "11457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC DENTAL LICENSE",
            "identifier": "11457",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #17312)
• Walgreen Co (Walgreens #18351)
• Walgreen Co (Walgreens #09542)
• Walgreen Co (Walgreens 11434)
• Jennifer E Walker, MHP
• Mitzi D. Wallen, LPC
• Lakeisha Namone Ward, CNA
• Amanda Leigh Washel, PCC
• Ava Webb, LPC
• Hailey L Wehner, PA-C

• General Practice Dentistry in Goose Creek, SC
• Providers in Goose Creek, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; 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.