Active NPI
Edward Stuart Walker, DDS
- General Practice Dentistry
- Cortez, CO
National Provider Identifier
1598834822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7907
- Practice address
- 115 N Beech St
Cortez, CO 81321 - Phone
- (970) 565-7275
- NPI assigned
- Nov 8, 2006
- Last updated
- Feb 28, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7907 | CO | Primary |
Addresses
Primary practice location
115 N Beech St
Cortez, CO 81321
Mailing address
PO Box 629
Cortez, CO 81321
Phone (970) 565-7275
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7907 | CO | MD | General Practice Dentistry |
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": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646006400000",
"number": "1598834822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 629",
"city": "CORTEZ",
"state": "CO",
"postal_code": "81321",
"telephone_number": "970-565-7275",
"fax_number": "970-565-7243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 N BEECH ST",
"city": "CORTEZ",
"state": "CO",
"postal_code": "81321",
"telephone_number": "970-565-7275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "EDWARD",
"middle_name": "STUART",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2022-02-28",
"certification_date": "2022-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "7907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Walgreen Co (Walgreens #10370)
- Walgreen Co. (Walgreens #10370)
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- Rachel Renee Wallace, CRNA
- Walmart Inc. (Walmart Pharmacy 10-0966)
- Liching Pi Wang
- Crystal Ward, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.