John David Walker, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DD4154 Issued in NM

Practice address

301 North B Street
Zuni, NM 87327

Phone

(505) 782-7350

NPI assigned

Jul 29, 2014

Sex

Male

Sole proprietor

No

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.

• Abc Dental Care PLLC

  • Dental Clinic/Center
  • Las Vegas, NV
  • NPI 1679289201
  NPD Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 10, 2015.

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425945600000",
    "number": "1629486170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 467",
            "city": "ZUNI",
            "state": "NM",
            "postal_code": "873270467",
            "telephone_number": "505-782-7350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 NORTH B STREET",
            "city": "ZUNI",
            "state": "NM",
            "postal_code": "87327",
            "telephone_number": "505-782-7350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-29",
        "last_updated": "2015-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD4154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "28029852",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Summerfelt, D.M.D.
• Rachel Leftwich Trippett, MD
• Laura Urbanski, M.D.
• Joy Della McQuery Vala, MD
• Robert K. Waatsa, L.P.C.C., L.A.D.A.C.
• Valory Elizabeth Wangler, MD
• Camilo Pavel Werlin, MD
• Eve Marina Wiggins, MD
• Maria B. Williams, PH.D.
• Kristen Lenore Zozulin, MD

• All providers in Zuni, NM
• Dentist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.