Thomas Robert Walker, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

AZ 3806 Issued in AZ

Practice address

10720 W Indian School Rd
Suite 55
Phoenix, AZ 85037-5721

Phone

(623) 877-1729

Fax

(623) 877-7557

NPI assigned

Jan 16, 2007

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

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 and National Provider Directory roles.

• South Town Dental Care, Inc.

  • Dental Clinic/Center
  • Phoenix, AZ
  • NPI 1043776644
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609927375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10720 W INDIAN SCHOOL RD",
            "address_2": "SUITE 55",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850375721",
            "telephone_number": "623-877-1729",
            "fax_number": "623-877-7557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10720 W INDIAN SCHOOL RD",
            "address_2": "SUITE 55",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850375721",
            "telephone_number": "623-877-1729",
            "fax_number": "623-877-7557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "THOMAS",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "AZ 3806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott David Walker, D.P.M.
• Shena Walker, RN
• Sherita Walker
• Susan Giuntini Walker, FNP
• Tejahre Walker
• Tiffany Marie Walker, PA-C
• Tony Walker
• Virginia Sue Walker, LPN
• Michael Denis Walkow
• Timothy William Walkowiak, NP-C

• General Practice Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.