NPIMap

Organization Active NPI

Brian G Walker DDS PC

  • Dentist
  • Indianapolis, IN
National Provider Identifier
1669414462
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12009527 Issued in IN
Legal business name
BRIAN G WALKER DDS PC
Practice address
6470 N Shadeland Avenue
Ste a
Indianapolis, IN 46220-4386
Phone
(317) 842-2345
Fax
(317) 842-3115
NPI assigned
Jun 13, 2006
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. Brian G Walker, DDS
Title
President
Phone
(317) 842-2345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 12009527 IN Primary

Addresses

Primary practice location

6470 N Shadeland Avenue
Ste a
Indianapolis, IN 46220-4386

Mailing address

6470 N Shadeland Avenue
Ste a
Indianapolis, IN 46220-4386
Phone (317) 842-2345

National Provider Directory

National Provider Directory

Locations

6470 N Shadeland Ave
Ste A
Indianapolis, IN 46220
Phone (317) 842-2345

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669414462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6470 N SHADELAND AVENUE",
            "address_2": "STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462204386",
            "telephone_number": "317-842-2345",
            "fax_number": "317-842-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6470 N SHADELAND AVENUE",
            "address_2": "STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462204386",
            "telephone_number": "317-842-2345",
            "fax_number": "317-842-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN G WALKER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-842-2345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "12009527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

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.