Ryan M. Walker, DDS, PC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

2003011564 Issued in MO

Legal business name

RYAN M. WALKER, DDS, PC

Doing business as

Northwest Endodontics

Practice address

803 N 36TH St
Suite C
Saint Joseph, MO 64506-2970

Phone

(816) 364-4422

Fax

(816) 364-1122

NPI assigned

May 31, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ryan Mitchell Walker, DDSNPI 1679658876

Title

President

Phone

(816) 364-4422

Specialties & licenses 2

Addresses

Other names 1

• Northwest Endodontics Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ryan Mitchell Walker, DDS

  • Endodontics
  • Saint Joseph, MO
  • NPI 1679658876
  NPD (past) Authorized official

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649471186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 N 36TH ST",
            "address_2": "SUITE C",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062970",
            "telephone_number": "816-364-4422",
            "fax_number": "816-364-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 N 36TH ST",
            "address_2": "SUITE C",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062970",
            "telephone_number": "816-364-4422",
            "fax_number": "816-364-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN M. WALKER, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "MITCHELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-364-4422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MO",
            "license": "2003011564",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MO",
            "license": "2004009677",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Noelle Ruckman, M.D.
• Carolyn Ingrid Ruiz, PHYSICAL THERAPIST
• Seth Rush
• George Robert Ruwwe Jr., DDS
• Ryan H. Holmes, D.C., P.C. (Holmes Clinic of Chiropractic)
• Sacred Heart Home Healthcare Inc
• Prasanth Babu Sadaram, MD
• Taylor Sadler, PMHNP-BC
• Mahmoud B Said, MD
• Donald E Sallee II, MD

• Endodontics in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Endodontics in Missouri

• 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.