James Walter

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

28409 Issued in TX

Practice address

988 Harber Ave
Grapevine, TX 76051-6621

Phone

(720) 309-5182

NPI assigned

Feb 22, 2017

Last updated

Feb 22, 2017By the provider in NPPES

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

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1679012793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "988 HARBER AVE",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760516621",
            "telephone_number": "720-309-5182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "988 HARBER AVE",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760516621",
            "telephone_number": "720-309-5182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTER",
        "first_name": "JAMES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-22",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "28409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores Texas, LP (Vision Center 30-0266)
• Walgreen Co (Walgreens #02020)
• Daniel Paul Walker, MD
• Ivey Madelyn Walker, FNP-C
• Pamela N. Walker, PH.D.
• Claire Wander
• Jinal Wani
• Amy Diane Warrington, FNP
• Washburn Audiology, LLC (Love To Hear Again Audiology)
• Elyssa Jean Washburn, AU.D.

• General Practice Dentistry in Grapevine, TX
• Providers in Grapevine, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.