Active NPI
M Walker DDS Associates of Northdale PA
- General Practice Dentistry
- Tampa, FL
National Provider Identifier
1609958925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- M WALKER DDS ASSOCIATES OF NORTHDALE PA
- Practice address
- 3910 Northdale Blvd
Suite 102
Tampa, FL 33625 - Phone
- (813) 969-0294
- Fax
- (813) 969-1339
- NPI assigned
- Oct 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Patricia M Hambaugh
- Title
- General Manager
- Phone
- (813) 960-8896
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
3910 Northdale Blvd
Suite 102
Tampa, FL 33625
Mailing address
3910 Northdale Blvd
Suite 102
Tampa, FL 33625
Phone (813) 969-0294
National Provider Directory
National Provider DirectoryLocations
3910 Northdale Blvd
Ste 102
Tampa, FL 33624
Phone (813) 969-0294
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Tampa, FL
- NPI 1851501712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1609958925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3910 NORTHDALE BLVD",
"address_2": "SUITE 102",
"city": "TAMPA",
"state": "FL",
"postal_code": "33625",
"telephone_number": "813-969-0294",
"fax_number": "813-969-1339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3910 NORTHDALE BLVD",
"address_2": "SUITE 102",
"city": "TAMPA",
"state": "FL",
"postal_code": "33625",
"telephone_number": "813-969-0294",
"fax_number": "813-969-1339"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "M WALKER DDS ASSOCIATES OF NORTHDALE PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HAMBAUGH",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "813-960-8896",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
- M & M Medical Clinic, LLC (First Care Walk-In Clinic)
- M & P Loving Adult Day Care LLC
- M Cariaga M D P a
- M Paul Nestor DDS PA
- M Square Capital Group LLC (Medicare MTM Services)
- M Walker DDS Associates PA (Dental Health Services)
- M Walker DDS PA (Dental Health Services)
- M.Y. Vision Optometry LLC
- M&a Support Services LLC
- M&K Care Service LLC
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.