NPIMap

Organization Active NPI

Joan R. Walker, DDS, PC

  • General Practice Dentistry
  • Lees Summit, MO
National Provider Identifier
1598962003
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
MO015528 Issued in MO
Legal business name
JOAN R. WALKER, DDS, PC
Practice address
4025 NE Lakewood Way Ste 200
Lees Summit, MO 64064-1995
Phone
(816) 795-5626
NPI assigned
Jun 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Joan Roulston Walker, D.D.S.NPI 1851303572
Title
Ceo
Phone
(816) 795-5626

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X MO015528 MO Primary

Addresses

Primary practice location

4025 NE Lakewood Way Ste 200
Lees Summit, MO 64064-1995

Mailing address

4025 NE Lakewood Way Ste 200
Lees Summit, MO 64064-1995
Phone (816) 795-5626

National Provider Directory

National Provider Directory

Locations

4025 NE Lakewood Way
Ste 200
Lees Summit, MO 64064
Phone (816) 795-5626

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598962003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 NE LAKEWOOD WAY STE 200",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640641995",
            "telephone_number": "816-795-5626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 NE LAKEWOOD WAY STE 200",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640641995",
            "telephone_number": "816-795-5626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOAN R. WALKER, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "ROULSTON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "816-795-5626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "MO015528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.